Malcolm P. Dulock, Md in Cumming - Specialist

Malcolm P. Dulock, Md - NPI 1316141302

Malcolm P. Dulock, Md is a Specialist in Cumming, Georgia. Malcolm P. Dulock, Md practices all healthcare services and medical treatments related to Specialist. The NPI Number for Malcolm P. Dulock, Md is 1316141302. The last update date is 2012-12-04.

Malcolm P. Dulock, Md's current location address is 319 Canton Rd, Cumming, Georgia. You can contact this provider via phone number 6784568200 and fax number 6784568201. The mailing address for Malcolm P. Dulock, Md is 319 Canton Rd, Cumming, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Malcolm P. Dulock, Md
Address 319 Canton Rd, Cumming, Georgia
Phone Number 6784568200
Fax Number 6784568201
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BUSINESS M
Authorized Official Name Herrick Patti
Telephone Number 6784568200

NPI Number Detail

NPI Number 1316141302
Provider Enumeration Date 2007-06-13
Last Updated Date 2012-12-04

Provider Mailing Address Detail

Address 319 Canton Rd
City Cumming
State Georgia (GA)
Post Code 300402213
Phone Number 6784568200
Fax Number 6784568201

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 13265
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
GRP7624 GA MEDICARE
1922198647 GA INDIVIDUAL NPI

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FAQs about Malcolm P. Dulock, Md

What is the unique 10-digit identifier code issued to Malcolm P. Dulock, Md by the Centers for Medicare & Medicaid Services?

The Malcolm P. Dulock, Md has been assigned the NPI (National Provider Identifier) 1316141302 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Malcolm P. Dulock, Md is located?

The Malcolm P. Dulock, Md is situated at the following address: 319 Canton Rd, Cumming, GA, 300402213.

What is Malcolm P. Dulock, Md's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Malcolm P. Dulock, Md is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1316141302 to Malcolm P. Dulock, Md?

The Malcolm P. Dulock, Md received its 1316141302 assignment from the Centers for Medicare & Medicaid Services on 2007-06-13.

As of what date was the information pertaining to Malcolm P. Dulock, Md, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Malcolm P. Dulock, Md, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-12-04.

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