Freddie James Wakefield in Jonesboro - General Practice
Freddie James Wakefield - NPI 1366589707
Freddie James Wakefield is a General Practice in Jonesboro, Georgia. Freddie James Wakefield practices all healthcare services and medical treatments related to General Practice. The NPI Number for Freddie James Wakefield is 1366589707. The last update date is 2007-07-08.
Freddie James Wakefield's current location address is 6568 Tara Blvd, Jonesboro, Georgia. You can contact this provider via phone number 7709612000 and fax number 7709619692. The mailing address for Freddie James Wakefield is 6568 Tara Blvd, Jonesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Freddie James Wakefield |
|---|---|
| Address | 6568 Tara Blvd, Jonesboro, Georgia |
| Phone Number | 7709612000 |
| Fax Number | 7709619692 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1366589707 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6568 Tara Blvd |
|---|---|
| City | Jonesboro |
| State | Georgia (GA) |
| Post Code | 302360 |
| Phone Number | 7709612000 |
| Fax Number | 7709619692 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 11152 |
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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. |
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What is the unique provider identifier assigned to Freddie James Wakefield?
The Freddie James Wakefield has been issued the NPI (National Provider Identifier) 1366589707 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Freddie James Wakefield is physically located?
The Freddie James Wakefield is physically situated at the following address: 6568 Tara Blvd, Jonesboro, GA, 302360.
What is the Freddie James Wakefield's area of specialization and corresponding taxonomy classification?
The Freddie James Wakefield'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 did the Freddie James Wakefield receive its 1366589707 assignment from the Centers for Medicare & Medicaid Services?
The Freddie James Wakefield was assigned its 1366589707 by the Centers for Medicare & Medicaid Services on 2007-02-01.
As of what date was the information regarding Freddie James Wakefield, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Freddie James Wakefield, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.