Juan Antonio Mujica in Stockbridge - Specialist
Juan Antonio Mujica - NPI 1760488282
Juan Antonio Mujica is a Specialist in Stockbridge, Georgia. Juan Antonio Mujica practices all healthcare services and medical treatments related to Specialist. The NPI Number for Juan Antonio Mujica is 1760488282. The last update date is 2010-01-06.
Juan Antonio Mujica's current location address is 210 Village Center Pkwy, Stockbridge, Georgia. You can contact this provider via phone number 7704745952 and fax number 7704741300. The mailing address for Juan Antonio Mujica is 210 Village Center Pkwy, Stockbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juan Antonio Mujica |
|---|---|
| Address | 210 Village Center Pkwy, Stockbridge, Georgia |
| Phone Number | 7704745952 |
| Fax Number | 7704741300 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760488282 |
|---|---|
| Provider Enumeration Date | 2005-06-21 |
| Last Updated Date | 2010-01-06 |
Provider Mailing Address Detail
| Address | 210 Village Center Pkwy |
|---|---|
| City | Stockbridge |
| State | Georgia (GA) |
| Post Code | 3028190440 |
| Phone Number | 7704745952 |
| Fax Number | 7704741300 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 23193 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 591423 | GA | BLUE CROSS BLUE SHIELD GA | |
| D30300 | GA | COVENTRY | |
| 580685000 | GA | TRICARE |
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What is the unique 10-digit identifier code issued to Juan Antonio Mujica by the Centers for Medicare & Medicaid Services?
The Juan Antonio Mujica has been assigned the NPI (National Provider Identifier) 1760488282 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Juan Antonio Mujica is geographically located?
The Juan Antonio Mujica is physically situated at the following location: 210 Village Center Pkwy, Stockbridge, GA, 3028190440.
What is Juan Antonio Mujica's specialized field of practice, and what is the corresponding taxonomy classification code?
The Juan Antonio Mujica'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 1760488282 to Juan Antonio Mujica?
The Juan Antonio Mujica received its 1760488282 assignment from the Centers for Medicare & Medicaid Services on 2005-06-21.
As of what date were the details pertaining to Juan Antonio Mujica last refreshed?
The information related to the Juan Antonio Mujica, including its address, specialty, and other relevant details, was last updated on 2010-01-06.