Sidney A Funk in Atlanta - Specialist

Sidney A Funk - NPI 1134121007

Sidney A Funk is a Specialist in Atlanta, Georgia. Sidney A Funk practices all healthcare services and medical treatments related to Specialist. The NPI Number for Sidney A Funk is 1134121007. The last update date is 2007-07-08.

Sidney A Funk's current location address is 980 Johnson Ferry Rd Ne, Atlanta, Georgia. You can contact this provider via phone number 4042523898 and fax number 4048430719. The mailing address for Sidney A Funk is 980 Johnson Ferry Rd Ne, Atlanta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Sidney A Funk
Address 980 Johnson Ferry Rd Ne, Atlanta, Georgia
Phone Number 4042523898
Fax Number 4048430719
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1134121007
Provider Enumeration Date 2005-08-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 980 Johnson Ferry Rd Ne
City Atlanta
State Georgia (GA)
Post Code 303421626
Phone Number 4042523898
Fax Number 4048430719

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 11333
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
0008716C GA --

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FAQs about Sidney A Funk

What is the unique identification code assigned to Sidney A Funk by the Centers for Medicare & Medicaid Services?

The Sidney A Funk has been issued the NPI (National Provider Identifier) 1134121007. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Sidney A Funk is physically located?

The Sidney A Funk is physically situated at the following address: 980 Johnson Ferry Rd Ne, Atlanta, GA, 303421626.

What is the Sidney A Funk's area of specialization and corresponding taxonomy classification?

The Sidney A Funk's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1134121007 to Sidney A Funk?

The Centers for Medicare & Medicaid Services originally issued the 1134121007 to Sidney A Funk on 2005-08-11.

As of what date were the Sidney A Funk's details last updated?

The information pertaining to the Sidney A Funk, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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