Tamara A Iacampo is a Clinical in Coolidge, Georgia. Tamara A Iacampo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tamara A Iacampo is 1770643314. The last update date is 2013-09-16.
Tamara A Iacampo's current location address is 7363 Hall Road, Coolidge, Georgia. You can contact this provider via phone number 2292285192 and fax number 2292285139. The mailing address for Tamara A Iacampo is 7363 Hall Road, Coolidge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamara A Iacampo |
|---|---|
| Address | 7363 Hall Road, Coolidge, Georgia |
| Phone Number | 2292285192 |
| Fax Number | 2292285139 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1770643314 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2013-09-16 |
Provider Mailing Address Detail
| Address | 7363 Hall Road |
|---|---|
| City | Coolidge |
| State | Georgia (GA) |
| Post Code | 31773 |
| Phone Number | 2292285192 |
| Fax Number | 2292285139 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW003255 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 897767470B | GA | -- |
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What is the unique 10-digit identifier code issued to Tamara A Iacampo by the Centers for Medicare & Medicaid Services?
The Tamara A Iacampo has been assigned the NPI (National Provider Identifier) 1770643314 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Tamara A Iacampo?
The Tamara A Iacampo is situated at 7363 Hall Road, in the city of Coolidge, state of GA, with the zip code 31773.
What is the Tamara A Iacampo's specialty and taxonomy code?
The Tamara A Iacampo's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the Tamara A Iacampo receive its 1770643314?
The Tamara A Iacampo was issued its 1770643314 on 2006-12-12, which is the date when the organization was assigned this unique identifier.
As of what date were the Tamara A Iacampo's details last updated?
The information pertaining to the Tamara A Iacampo, including its address, specialty, and other details, was most recently updated on 2013-09-16.