Fonticiella Medical Clinic, Inc in Paragould - Specialist
Fonticiella Medical Clinic, Inc - NPI 1649285511
Fonticiella Medical Clinic, Inc is a Specialist in Paragould, Arkansas. Fonticiella Medical Clinic, Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Fonticiella Medical Clinic, Inc is 1649285511. The last update date is 2016-08-08.
Fonticiella Medical Clinic, Inc's current location address is 1000 West Kingshighway, Paragould, Arkansas. You can contact this provider via phone number 8702366930 and fax number 8702398065. The mailing address for Fonticiella Medical Clinic, Inc is 1000 West Kingshighway, Paragould, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fonticiella Medical Clinic, Inc |
|---|---|
| Address | 1000 West Kingshighway, Paragould, Arkansas |
| Phone Number | 8702366930 |
| Fax Number | 8702398065 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | M.D. |
|---|---|
| Authorized Official Name | Fonticiella Ramon Adalberto |
| Credentials | M.D. |
| Telephone Number | 8702366930 |
NPI Number Detail
| NPI Number | 1649285511 |
|---|---|
| Provider Enumeration Date | 2006-07-29 |
| Last Updated Date | 2016-08-08 |
Provider Mailing Address Detail
| Address | 1000 West Kingshighway |
|---|---|
| City | Paragould |
| State | Arkansas (AR) |
| Post Code | 724508894 |
| Phone Number | 8702366930 |
| Fax Number | 8702398065 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | C6766 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 157456002 | AR | -- |
Post Comment/ Review Below
What is the Fonticiella Medical Clinic, Inc's unique identification number?
The Fonticiella Medical Clinic, Inc has been assigned the NPI (National Provider Identifier) Number 1649285511 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Fonticiella Medical Clinic, Inc located?
The Fonticiella Medical Clinic, Inc is located at 1000 West Kingshighway, Paragould, AR 724508894.
What is the Fonticiella Medical Clinic, Inc's area of specialization and corresponding taxonomy classification?
The Fonticiella Medical Clinic, Inc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date was the 1649285511 assigned to Fonticiella Medical Clinic, Inc?
The Fonticiella Medical Clinic, Inc was issued its 1649285511 on 2006-07-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Fonticiella Medical Clinic, Inc's information last updated?
The Fonticiella Medical Clinic, Inc's information was last updated on 2016-08-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC