Monica S Blaylock in Cumming - General Practice

Monica S Blaylock - NPI 1679650642

Monica S Blaylock is a General Practice in Cumming, Georgia. Monica S Blaylock practices all healthcare services and medical treatments related to General Practice. The NPI Number for Monica S Blaylock is 1679650642. The last update date is 2007-07-08.

Monica S Blaylock's current location address is 309 Pirkle Ferry Rd Ste C100, Cumming, Georgia. You can contact this provider via phone number 7702059226 and fax number 7702052278. The mailing address for Monica S Blaylock is 309 Pirkle Ferry Rd Ste C100, Cumming, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Monica S Blaylock
Address 309 Pirkle Ferry Rd Ste C100, Cumming, Georgia
Phone Number 7702059226
Fax Number 7702052278
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1679650642
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 309 Pirkle Ferry Rd Ste C100
City Cumming
State Georgia (GA)
Post Code 300402549
Phone Number 7702059226
Fax Number 7702052278

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 11514
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11514 GA STATE DENTAL LICENSE

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FAQs about Monica S Blaylock

What is the unique 10-digit identification code assigned to Monica S Blaylock by the Centers for Medicare & Medicaid Services?

The Monica S Blaylock has been issued the NPI (National Provider Identifier) 1679650642, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Monica S Blaylock's facilities are situated?

The facilities of Monica S Blaylock are physically located at the following address: 309 Pirkle Ferry Rd Ste C100, Cumming, GA, 300402549.

What is the Monica S Blaylock's area of specialization and corresponding taxonomy classification?

The Monica S Blaylock's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date was the 1679650642 assigned to Monica S Blaylock?

The Monica S Blaylock was issued its 1679650642 on 2006-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Monica S Blaylock last refreshed?

The information related to the Monica S Blaylock, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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