Bainbridge Medical Associates, Pc in Bainbridge - Specialist
Bainbridge Medical Associates, Pc - NPI 1174705495
Bainbridge Medical Associates, Pc is a Specialist in Bainbridge, Georgia. Bainbridge Medical Associates, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bainbridge Medical Associates, Pc is 1174705495. The last update date is 2012-10-25.
Bainbridge Medical Associates, Pc's current location address is 1518 Miluli Ave, Bainbridge, Georgia. You can contact this provider via phone number 2292488500 and fax number 2292488600. The mailing address for Bainbridge Medical Associates, Pc is 1518 Miluli Ave, Bainbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bainbridge Medical Associates, Pc |
|---|---|
| Address | 1518 Miluli Ave, Bainbridge, Georgia |
| Phone Number | 2292488500 |
| Fax Number | 2292488600 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Mcrae Mallory Jon |
| Credentials | M.D. |
| Telephone Number | 2292488580 |
NPI Number Detail
| NPI Number | 1174705495 |
|---|---|
| Provider Enumeration Date | 2007-11-28 |
| Last Updated Date | 2012-10-25 |
Provider Mailing Address Detail
| Address | 1518 Miluli Ave |
|---|---|
| City | Bainbridge |
| State | Georgia (GA) |
| Post Code | 398194866 |
| Phone Number | 2292488500 |
| Fax Number | 2292488600 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
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 |
|---|---|---|---|
| GRP6258 | GA | MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bainbridge Medical Associates, Pc by the Centers for Medicare & Medicaid Services?
The Bainbridge Medical Associates, Pc has been issued the NPI (National Provider Identifier) 1174705495 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Bainbridge Medical Associates, Pc is physically located?
The Bainbridge Medical Associates, Pc is physically situated at the following address: 1518 Miluli Ave, Bainbridge, GA, 398194866.
What is Bainbridge Medical Associates, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bainbridge Medical Associates, Pc'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 assign the 1174705495 to Bainbridge Medical Associates, Pc?
The Centers for Medicare & Medicaid Services assigned the 1174705495 to Bainbridge Medical Associates, Pc on 2007-11-28.
When was the information pertaining to Bainbridge Medical Associates, Pc most recently updated or revised?
The details related to Bainbridge Medical Associates, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-25.
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