Martin Van Dyke Pool in Cartersville - Clinical
Martin Van Dyke Pool - NPI 1710990338
Martin Van Dyke Pool is a Clinical in Cartersville, Virginia. Martin Van Dyke Pool practices all healthcare services and medical treatments related to Clinical. The NPI Number for Martin Van Dyke Pool is 1710990338. The last update date is 2015-04-24.
Martin Van Dyke Pool's current location address is 83 Boston Hill Rd, Cartersville, Virginia. You can contact this provider via phone number 4344092596. The mailing address for Martin Van Dyke Pool is 83 Boston Hill Rd, Cartersville, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin Van Dyke Pool |
|---|---|
| Address | 83 Boston Hill Rd, Cartersville, Virginia |
| Phone Number | 4344092596 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1710990338 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2015-04-24 |
Provider Mailing Address Detail
| Address | 83 Boston Hill Rd |
|---|---|
| City | Cartersville |
| State | Virginia (VA) |
| Post Code | 230279716 |
| Phone Number | 4344092596 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904008797 |
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What is the unique identifier code issued to Martin Van Dyke Pool by the Centers for Medicare & Medicaid Services?
The Martin Van Dyke Pool has been assigned the NPI (National Provider Identifier) 1710990338. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Martin Van Dyke Pool located?
The Martin Van Dyke Pool is located at 83 Boston Hill Rd, Cartersville, VA 230279716.
What is Martin Van Dyke Pool's area of expertise and its corresponding taxonomy classification?
The Martin Van Dyke Pool's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1710990338 to Martin Van Dyke Pool?
The Centers for Medicare & Medicaid Services assigned the 1710990338 to Martin Van Dyke Pool on 2006-08-14.
When was the information pertaining to Martin Van Dyke Pool most recently updated or revised?
The details related to Martin Van Dyke Pool, including its address, specialty, and other relevant information, were last updated or revised on 2015-04-24.
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