Raymundo T Mallari in Fairburn - Specialist
Raymundo T Mallari - NPI 1205991965
Raymundo T Mallari is a Specialist in Fairburn, Georgia. Raymundo T Mallari practices all healthcare services and medical treatments related to Specialist. The NPI Number for Raymundo T Mallari is 1205991965. The last update date is 2007-07-08.
Raymundo T Mallari's current location address is 285 Dix Leeon Dr, Fairburn, Georgia. You can contact this provider via phone number 7704615436 and fax number 7704615436. The mailing address for Raymundo T Mallari is 285 Dix Leeon Dr, Fairburn, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Raymundo T Mallari |
---|---|
Address | 285 Dix Leeon Dr, Fairburn, Georgia |
Phone Number | 7704615436 |
Fax Number | 7704615436 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1205991965 |
---|---|
Provider Enumeration Date | 2006-12-23 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 285 Dix Leeon Dr |
---|---|
City | Fairburn |
State | Georgia (GA) |
Post Code | 302133609 |
Phone Number | 7704615436 |
Fax Number | 7704615436 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
Licence No | 17855 |
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. |
Post Comment/ Review Below
What is the unique identifier code issued to Raymundo T Mallari by the Centers for Medicare & Medicaid Services?
The Raymundo T Mallari has been assigned the NPI (National Provider Identifier) 1205991965. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Raymundo T Mallari's facilities are situated?
The facilities of Raymundo T Mallari are physically located at the following address: 285 Dix Leeon Dr, Fairburn, GA, 302133609.
What is Raymundo T Mallari's specialized field of practice, and what is the corresponding taxonomy classification code?
The Raymundo T Mallari'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 issue the 1205991965 to Raymundo T Mallari?
The Raymundo T Mallari received its 1205991965 assignment from the Centers for Medicare & Medicaid Services on 2006-12-23.
As of what date was the information regarding Raymundo T Mallari, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Raymundo T Mallari, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.