Lisa Brittany Bootstaylor in Atlanta - Specialist
Lisa Brittany Bootstaylor - NPI 1932211000
Lisa Brittany Bootstaylor is a Specialist in Atlanta, Georgia. Lisa Brittany Bootstaylor practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lisa Brittany Bootstaylor is 1932211000. The last update date is 2007-07-08.
Lisa Brittany Bootstaylor's current location address is 550 Peachtree St Ne, Atlanta, Georgia. You can contact this provider via phone number 4042402804 and fax number 4042402805. The mailing address for Lisa Brittany Bootstaylor is 550 Peachtree St Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lisa Brittany Bootstaylor |
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Address | 550 Peachtree St Ne, Atlanta, Georgia |
Phone Number | 4042402804 |
Fax Number | 4042402805 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1932211000 |
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Provider Enumeration Date | 2006-08-31 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 550 Peachtree St Ne |
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City | Atlanta |
State | Georgia (GA) |
Post Code | 303082247 |
Phone Number | 4042402804 |
Fax Number | 4042402805 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 45402 |
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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What is the unique 10-digit identification code issued to Lisa Brittany Bootstaylor by the Centers for Medicare & Medicaid Services?
The Lisa Brittany Bootstaylor has been assigned the NPI (National Provider Identifier) 1932211000 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Lisa Brittany Bootstaylor is located?
The Lisa Brittany Bootstaylor is situated at the following address: 550 Peachtree St Ne, Atlanta, GA, 303082247.
What is Lisa Brittany Bootstaylor's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa Brittany Bootstaylor's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did Lisa Brittany Bootstaylor receive its 1932211000 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Brittany Bootstaylor was assigned its 1932211000 on 2006-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Lisa Brittany Bootstaylor, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lisa Brittany Bootstaylor, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.