Colvin Jeffrey Brogdon in Upatoi - Professional
Colvin Jeffrey Brogdon - NPI 1396843579
Colvin Jeffrey Brogdon is a Professional in Upatoi, Georgia. Colvin Jeffrey Brogdon practices all healthcare services and medical treatments related to Professional. The NPI Number for Colvin Jeffrey Brogdon is 1396843579. The last update date is 2020-06-24.
Colvin Jeffrey Brogdon's current location address is 13821 Cross Creek Rd, Upatoi, Georgia. You can contact this provider via phone number 7065699212 and fax number 7065699212. The mailing address for Colvin Jeffrey Brogdon is 13821 Cross Creek Rd, Upatoi, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colvin Jeffrey Brogdon |
|---|---|
| Address | 13821 Cross Creek Rd, Upatoi, Georgia |
| Phone Number | 7065699212 |
| Fax Number | 7065699212 |
| Sole Proprietor | Y |
| Credentials | LPC, NCC |
NPI Number Detail
| NPI Number | 1396843579 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-06-24 |
Provider Mailing Address Detail
| Address | 13821 Cross Creek Rd |
|---|---|
| City | Upatoi |
| State | Georgia (GA) |
| Post Code | 318291802 |
| Phone Number | 7065699212 |
| Fax Number | 7065699212 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LPC002957 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 576838803A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Colvin Jeffrey Brogdon by the Centers for Medicare & Medicaid Services (CMS)?
The Colvin Jeffrey Brogdon has been assigned the NPI (National Provider Identifier) 1396843579. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Colvin Jeffrey Brogdon is geographically located?
The Colvin Jeffrey Brogdon is physically situated at the following location: 13821 Cross Creek Rd, Upatoi, GA, 318291802.
What is Colvin Jeffrey Brogdon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Colvin Jeffrey Brogdon is Professional, and the taxonomy code that classifies this field of practice is 101Yp2500X.
When did Colvin Jeffrey Brogdon receive its 1396843579 assignment?
The Colvin Jeffrey Brogdon was assigned its 1396843579 on 2006-09-20, which is the date when this unique identifier was issued to the organization.
When was the information related to Colvin Jeffrey Brogdon most recently updated or refreshed?
The details pertaining to the Colvin Jeffrey Brogdon, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-06-24.
NPI Number: 1023011681
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