David Ronald Squires in Augusta - Specialist

David Ronald Squires - NPI 1376520148

David Ronald Squires is a Specialist in Augusta, Georgia. David Ronald Squires practices all healthcare services and medical treatments related to Specialist. The NPI Number for David Ronald Squires is 1376520148. The last update date is 2023-03-08.

David Ronald Squires's current location address is 3696 Wheeler Rd, Augusta, Georgia. You can contact this provider via phone number 7067361830 and fax number 7067375103. The mailing address for David Ronald Squires is 3696 Wheeler Rd, Augusta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name David Ronald Squires
Address 3696 Wheeler Rd, Augusta, Georgia
Phone Number 7067361830
Fax Number 7067375103
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1376520148
Provider Enumeration Date 2005-12-22
Last Updated Date 2023-03-08

Provider Mailing Address Detail

Address 3696 Wheeler Rd
City Augusta
State Georgia (GA)
Post Code 309096520
Phone Number 7067361830
Fax Number 7067375103

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 52835
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
4423 GA BLUE CROSS BLUE SHIELD
G52835 SC --
P00035368 GA RAILROAD MEDICARE
604802700 GA UNITED HEALTHCARE
851030536A GA --

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FAQs about David Ronald Squires

What is the unique identifier code issued to David Ronald Squires by the Centers for Medicare & Medicaid Services?

The David Ronald Squires has been assigned the NPI (National Provider Identifier) 1376520148. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the David Ronald Squires located?

The David Ronald Squires is located at 3696 Wheeler Rd, Augusta, GA 309096520.

What is David Ronald Squires's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The David Ronald Squires's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

When did the David Ronald Squires receive its 1376520148?

The David Ronald Squires was issued its 1376520148 on 2005-12-22, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding David Ronald Squires, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to David Ronald Squires, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-08.

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