Camille Atallah in Statesboro - Specialist

Camille Atallah - NPI 1104903814

Camille Atallah is a Specialist in Statesboro, Georgia. Camille Atallah practices all healthcare services and medical treatments related to Specialist. The NPI Number for Camille Atallah is 1104903814. The last update date is 2007-07-08.

Camille Atallah's current location address is Po Box 1639, Statesboro, Georgia. You can contact this provider via phone number 9128717100 and fax number 9128717110. The mailing address for Camille Atallah is Po Box 1639, Statesboro, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Camille Atallah
Address Po Box 1639, Statesboro, Georgia
Phone Number 9128717100
Fax Number 9128717110
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1104903814
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 1639
City Statesboro
State Georgia (GA)
Post Code 304591639
Phone Number 9128717100
Fax Number 9128717110

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 47289
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
20052432 GA RAILROAD MEDICARE
582449176 GA CEDAR SURGICAL ASSOCIATES
00827681B GA --

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FAQs about Camille Atallah

What is the unique 10-digit identification code assigned to Camille Atallah by the Centers for Medicare & Medicaid Services?

The Camille Atallah has been issued the NPI (National Provider Identifier) 1104903814, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Camille Atallah is physically located?

The Camille Atallah is physically situated at the following address: Po Box 1639, Statesboro, GA, 304591639.

What is Camille Atallah's specialized field of practice, and what is the corresponding taxonomy classification code?

The Camille Atallah's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did Camille Atallah receive its 1104903814 assignment from the Centers for Medicare & Medicaid Services?

The Camille Atallah was assigned its 1104903814 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Camille Atallah, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Camille Atallah, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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