Azalea Womens Center, Pc in Valdosta - Specialist
Azalea Womens Center, Pc - NPI 1710194097
Azalea Womens Center, Pc is a Specialist in Valdosta, Georgia. Azalea Womens Center, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Azalea Womens Center, Pc is 1710194097. The last update date is 2012-11-06.
Azalea Womens Center, Pc's current location address is 2307 N Patterson St, Valdosta, Georgia. You can contact this provider via phone number 2292428888 and fax number 2292420069. The mailing address for Azalea Womens Center, Pc is 2307 N Patterson St, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Azalea Womens Center, Pc |
|---|---|
| Address | 2307 N Patterson St, Valdosta, Georgia |
| Phone Number | 2292428888 |
| Fax Number | 2292420069 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Sharon Michael John |
| Credentials | M.D. |
| Telephone Number | 2292428888 |
NPI Number Detail
| NPI Number | 1710194097 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2012-11-06 |
Provider Mailing Address Detail
| Address | 2307 N Patterson St |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 316022510 |
| Phone Number | 2292428888 |
| Fax Number | 2292420069 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 40845 |
|
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 |
|---|---|---|---|
| 300035443A | GA | -- | |
| 3948 | GA | GROUP NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Azalea Womens Center, Pc by the Centers for Medicare & Medicaid Services?
The Azalea Womens Center, Pc has been issued the NPI (National Provider Identifier) 1710194097 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Azalea Womens Center, Pc is located?
The Azalea Womens Center, Pc is situated at the following address: 2307 N Patterson St, Valdosta, GA, 316022510.
What is Azalea Womens Center, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Azalea Womens Center, Pc is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date was the 1710194097 assigned to Azalea Womens Center, Pc?
The Azalea Womens Center, Pc was issued its 1710194097 on 2007-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Azalea Womens Center, Pc most recently updated or revised?
The information pertaining to Azalea Womens Center, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2012-11-06.
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