Southern Crescent Breast Specialists,Pc in Lake Spivey - Specialist
Southern Crescent Breast Specialists,Pc - NPI 1922173723
Southern Crescent Breast Specialists,Pc is a Specialist in Lake Spivey, Georgia. Southern Crescent Breast Specialists,Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southern Crescent Breast Specialists,Pc is 1922173723. The last update date is 2008-08-08.
Southern Crescent Breast Specialists,Pc's current location address is 7823 Spivey Station Blvd, Lake Spivey, Georgia. You can contact this provider via phone number 7705075055 and fax number 7705075880. The mailing address for Southern Crescent Breast Specialists,Pc is 7823 Spivey Station Blvd, Lake Spivey, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Crescent Breast Specialists,Pc |
|---|---|
| Address | 7823 Spivey Station Blvd, Lake Spivey, Georgia |
| Phone Number | 7705075055 |
| Fax Number | 7705075880 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE A |
|---|---|
| Authorized Official Name | Pearson Wendy |
| Telephone Number | 7705075055 |
NPI Number Detail
| NPI Number | 1922173723 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2008-08-08 |
Provider Mailing Address Detail
| Address | 7823 Spivey Station Blvd |
|---|---|
| City | Lake Spivey |
| State | Georgia (GA) |
| Post Code | 302362886 |
| Phone Number | 7705075055 |
| Fax Number | 7705075880 |
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. |
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Post Comment/ Review Below
What is the Southern Crescent Breast Specialists,Pc's unique identification number?
The Southern Crescent Breast Specialists,Pc has been assigned the NPI (National Provider Identifier) Number 1922173723 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Southern Crescent Breast Specialists,Pc is physically located?
The Southern Crescent Breast Specialists,Pc is physically situated at the following address: 7823 Spivey Station Blvd, Lake Spivey, GA, 302362886.
What is the Southern Crescent Breast Specialists,Pc's specialty and taxonomy code?
The Southern Crescent Breast Specialists,Pc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Southern Crescent Breast Specialists,Pc receive the assignment of its 1922173723 from the Centers for Medicare & Medicaid Services?
The Southern Crescent Breast Specialists,Pc was issued its 1922173723 by the Centers for Medicare & Medicaid Services on 2006-11-21.
When was the information regarding Southern Crescent Breast Specialists,Pc most recently updated?
The details pertaining to the Southern Crescent Breast Specialists,Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-08-08.