My Obgyn Pc is a Specialist in Riverdale, Georgia. My Obgyn Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for My Obgyn Pc is 1669534210. The last update date is 2012-11-09.
My Obgyn Pc's current location address is Po Box 962380, Riverdale, Georgia. You can contact this provider via phone number 7709961200 and fax number 7709072334. The mailing address for My Obgyn Pc is Po Box 962380, Riverdale, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | My Obgyn Pc |
|---|---|
| Address | Po Box 962380, Riverdale, Georgia |
| Phone Number | 7709961200 |
| Fax Number | 7709072334 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Royster D Letitia |
| Credentials | M.D. |
| Telephone Number | 7709961200 |
NPI Number Detail
| NPI Number | 1669534210 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2012-11-09 |
Provider Mailing Address Detail
| Address | Po Box 962380 |
|---|---|
| City | Riverdale |
| State | Georgia (GA) |
| Post Code | 302966921 |
| Phone Number | 7709961200 |
| Fax Number | 7709072334 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 44077 |
|
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 |
|---|---|---|---|
| 300020659A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to My Obgyn Pc by the Centers for Medicare & Medicaid Services?
The My Obgyn Pc has been issued the NPI (National Provider Identifier) 1669534210 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of My Obgyn Pc?
The My Obgyn Pc is situated at Po Box 962380, in the city of Riverdale, state of GA, with the zip code 302966921.
What is My Obgyn Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The My Obgyn 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 1669534210 to My Obgyn Pc?
The Centers for Medicare & Medicaid Services assigned the 1669534210 to My Obgyn Pc on 2006-12-13.
When was the information related to My Obgyn Pc most recently updated or refreshed?
The details pertaining to the My Obgyn Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-11-09.
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