John C Mccormack Phd Pc in Augusta - Clinical
John C Mccormack Phd Pc - NPI 1306993795
John C Mccormack Phd Pc is a Clinical in Augusta, Georgia. John C Mccormack Phd Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for John C Mccormack Phd Pc is 1306993795. The last update date is 2007-12-18.
John C Mccormack Phd Pc's current location address is 2301 Wrightsboro Rd, Augusta, Georgia. You can contact this provider via phone number 7067337029 and fax number 7067331376. The mailing address for John C Mccormack Phd Pc is 2301 Wrightsboro Rd, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | John C Mccormack Phd Pc |
|---|---|
| Address | 2301 Wrightsboro Rd, Augusta, Georgia |
| Phone Number | 7067337029 |
| Fax Number | 7067331376 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mccormack Collins John |
| Credentials | PHD |
| Telephone Number | 7067337029 |
NPI Number Detail
| NPI Number | 1306993795 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2007-12-18 |
Provider Mailing Address Detail
| Address | 2301 Wrightsboro Rd |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309046219 |
| Phone Number | 7067337029 |
| Fax Number | 7067331376 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY000601 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the John C Mccormack Phd Pc's unique identification number?
The John C Mccormack Phd Pc has been assigned the NPI (National Provider Identifier) Number 1306993795 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of John C Mccormack Phd Pc?
The John C Mccormack Phd Pc is physically situated at 2301 Wrightsboro Rd, in the city of Augusta, state of GA, with the postal code 309046219.
What is John C Mccormack Phd Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The John C Mccormack Phd Pc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306993795 to John C Mccormack Phd Pc?
The John C Mccormack Phd Pc received its 1306993795 assignment from the Centers for Medicare & Medicaid Services on 2007-01-05.
As of what date were the John C Mccormack Phd Pc's details last updated?
The information pertaining to the John C Mccormack Phd Pc, including its address, specialty, and other details, was most recently updated on 2007-12-18.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN