Alphonzo Overstreet in Atlanta - Specialist
Alphonzo Overstreet - NPI 1467510313
Alphonzo Overstreet is a Specialist in Atlanta, Georgia. Alphonzo Overstreet practices all healthcare services and medical treatments related to Specialist. The NPI Number for Alphonzo Overstreet is 1467510313. The last update date is 2008-06-13.
Alphonzo Overstreet's current location address is 3355 Cascade Rd Sw, Atlanta, Georgia. You can contact this provider via phone number 4046997096 and fax number 4046999933. The mailing address for Alphonzo Overstreet is 3355 Cascade Rd Sw, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alphonzo Overstreet |
|---|---|
| Address | 3355 Cascade Rd Sw, Atlanta, Georgia |
| Phone Number | 4046997096 |
| Fax Number | 4046999933 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1467510313 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 3355 Cascade Rd Sw |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303113618 |
| Phone Number | 4046997096 |
| Fax Number | 4046999933 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 34431 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00470808B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Alphonzo Overstreet by the Centers for Medicare & Medicaid Services?
The Alphonzo Overstreet has been issued the NPI (National Provider Identifier) 1467510313 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Alphonzo Overstreet is located?
The Alphonzo Overstreet is situated at the following address: 3355 Cascade Rd Sw, Atlanta, GA, 303113618.
What is Alphonzo Overstreet's specialized field of practice, and what is the corresponding taxonomy classification code?
The Alphonzo Overstreet's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1467510313 to Alphonzo Overstreet?
The Centers for Medicare & Medicaid Services originally issued the 1467510313 to Alphonzo Overstreet on 2006-12-04.
As of what date were the details related to Alphonzo Overstreet most recently updated or revised?
The information pertaining to Alphonzo Overstreet, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-13.
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