Azalea Center For Plastic Surgery Pc in Valdosta - Specialist
Azalea Center For Plastic Surgery Pc - NPI 1952431223
Azalea Center For Plastic Surgery Pc is a Specialist in Valdosta, Georgia. Azalea Center For Plastic Surgery Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Azalea Center For Plastic Surgery Pc is 1952431223. The last update date is 2014-02-06.
Azalea Center For Plastic Surgery Pc's current location address is 2810 N Oak St, Valdosta, Georgia. You can contact this provider via phone number 2292590019 and fax number 2292590209. The mailing address for Azalea Center For Plastic Surgery Pc is 2810 N Oak St, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Azalea Center For Plastic Surgery Pc |
|---|---|
| Address | 2810 N Oak St, Valdosta, Georgia |
| Phone Number | 2292590019 |
| Fax Number | 2292590209 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Moore Bridgett |
| Credentials | MD |
| Telephone Number | 2292590019 |
NPI Number Detail
| NPI Number | 1952431223 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2014-02-06 |
Provider Mailing Address Detail
| Address | 2810 N Oak St |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 316021716 |
| Phone Number | 2292590019 |
| Fax Number | 2292590209 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 39418 |
|
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 |
|---|---|---|---|
| 110206439 | GA | MEDICARE RR PROVIDER # | |
| 598880 | GA | BCBS GA PROVIDER # | |
| 00830277A | GA | -- | |
| 511G700695 | GA | MEDICARE GROUP PIN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Azalea Center For Plastic Surgery Pc by the Centers for Medicare & Medicaid Services?
The Azalea Center For Plastic Surgery Pc has been assigned the NPI (National Provider Identifier) 1952431223 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Azalea Center For Plastic Surgery Pc is located?
The Azalea Center For Plastic Surgery Pc is situated at the following address: 2810 N Oak St, Valdosta, GA, 316021716.
What is Azalea Center For Plastic Surgery Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Azalea Center For Plastic Surgery 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 Azalea Center For Plastic Surgery Pc receive the assignment of its 1952431223 from the Centers for Medicare & Medicaid Services?
The Azalea Center For Plastic Surgery Pc was issued its 1952431223 by the Centers for Medicare & Medicaid Services on 2007-03-06.
When was the information regarding Azalea Center For Plastic Surgery Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Azalea Center For Plastic Surgery Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-02-06.