Antwan Londell Treadway in Austell - Oral And Maxillofacial Surgery
Antwan Londell Treadway - NPI 1972616878
Antwan Londell Treadway is a Oral And Maxillofacial Surgery in Austell, Georgia. Antwan Londell Treadway practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Antwan Londell Treadway is 1972616878. The last update date is 2007-07-08.
Antwan Londell Treadway's current location address is 1790 Mulkey Rd, Austell, Georgia. You can contact this provider via phone number 7709412476 and fax number 7709415710. The mailing address for Antwan Londell Treadway is 1790 Mulkey Rd, Austell, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Antwan Londell Treadway |
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Address | 1790 Mulkey Rd, Austell, Georgia |
Phone Number | 7709412476 |
Fax Number | 7709415710 |
Sole Proprietor | N |
Credentials | D.M.D. |
NPI Number Detail
NPI Number | 1972616878 |
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Provider Enumeration Date | 2006-08-16 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1790 Mulkey Rd |
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City | Austell |
State | Georgia (GA) |
Post Code | 301061122 |
Phone Number | 7709412476 |
Fax Number | 7709415710 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 12209 |
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
000849439B | GA | -- | |
000849439C | GA | -- |
Post Comment/ Review Below
What is the Antwan Londell Treadway's 1972616878?
The Antwan Londell Treadway's NPI (National Provider Identifier) Number is 1972616878. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Antwan Londell Treadway's physical address?
The Antwan Londell Treadway is physically located at 1790 Mulkey Rd, in the city of Austell, GA, with the postal code 301061122.
What is Antwan Londell Treadway's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Antwan Londell Treadway is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
On what date did Antwan Londell Treadway receive its 1972616878 assignment from the Centers for Medicare & Medicaid Services?
The Antwan Londell Treadway was assigned its 1972616878 on 2006-08-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Antwan Londell Treadway most recently updated or revised?
The details related to Antwan Londell Treadway, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY