Phoebe Gates Thorpe in Stone Mountain - Specialist

Phoebe Gates Thorpe - NPI 1003814369

Phoebe Gates Thorpe is a Specialist in Stone Mountain, Georgia. Phoebe Gates Thorpe practices all healthcare services and medical treatments related to Specialist. The NPI Number for Phoebe Gates Thorpe is 1003814369. The last update date is 2009-04-20.

Phoebe Gates Thorpe's current location address is 5405 Memorial Dr Ste D, Stone Mountain, Georgia. You can contact this provider via phone number 4042963800 and fax number 4042978753. The mailing address for Phoebe Gates Thorpe is 5405 Memorial Dr Ste D, Stone Mountain, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Phoebe Gates Thorpe
Address 5405 Memorial Dr Ste D, Stone Mountain, Georgia
Phone Number 4042963800
Fax Number 4042978753
Sole Proprietor N
Credentials M.D., M.P.

NPI Number Detail

NPI Number 1003814369
Provider Enumeration Date 2005-07-12
Last Updated Date 2009-04-20

Provider Mailing Address Detail

Address 5405 Memorial Dr Ste D
City Stone Mountain
State Georgia (GA)
Post Code 300833236
Phone Number 4042963800
Fax Number 4042978753

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 53889
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
175583131A GA --

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FAQs about Phoebe Gates Thorpe

What is the unique 10-digit identifier code assigned to Phoebe Gates Thorpe by the Centers for Medicare & Medicaid Services?

The Phoebe Gates Thorpe has been issued the NPI (National Provider Identifier) 1003814369 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Phoebe Gates Thorpe is physically located?

The Phoebe Gates Thorpe is physically situated at the following address: 5405 Memorial Dr Ste D, Stone Mountain, GA, 300833236.

What is the Phoebe Gates Thorpe's area of specialization and corresponding taxonomy classification?

The Phoebe Gates Thorpe's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did the Phoebe Gates Thorpe receive the assignment of its 1003814369 from the Centers for Medicare & Medicaid Services?

The Phoebe Gates Thorpe was issued its 1003814369 by the Centers for Medicare & Medicaid Services on 2005-07-12.

When was the information pertaining to Phoebe Gates Thorpe most recently updated or revised?

The details related to Phoebe Gates Thorpe, including its address, specialty, and other relevant information, were last updated or revised on 2009-04-20.

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