David Wiseman is a Specialist in Goldsboro, North Carolina. David Wiseman practices all healthcare services and medical treatments related to Specialist. The NPI Number for David Wiseman is 1306987920. The last update date is 2012-08-09.
David Wiseman's current location address is 201 Cox Blvd, Goldsboro, North Carolina. You can contact this provider via phone number 9197357580 and fax number 9195809338. The mailing address for David Wiseman is 201 Cox Blvd, Goldsboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Wiseman |
|---|---|
| Address | 201 Cox Blvd, Goldsboro, North Carolina |
| Phone Number | 9197357580 |
| Fax Number | 9195809338 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1306987920 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2012-08-09 |
Provider Mailing Address Detail
| Address | 201 Cox Blvd |
|---|---|
| City | Goldsboro |
| State | North Carolina (NC) |
| Post Code | 275349479 |
| Phone Number | 9197357580 |
| Fax Number | 9195809338 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 102519 |
|
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 |
|---|---|---|---|
| 89130F0 | NC | -- | |
| 136YA | NC | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to David Wiseman by the Centers for Medicare & Medicaid Services (CMS)?
The David Wiseman has been assigned the NPI (National Provider Identifier) 1306987920. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where David Wiseman is physically located?
The David Wiseman is situated at the following address: 201 Cox Blvd, Goldsboro, NC 275349479.
What is the David Wiseman's specialty and taxonomy code?
The David Wiseman's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the David Wiseman receive its 1306987920 assignment from the Centers for Medicare & Medicaid Services?
The David Wiseman was assigned its 1306987920 by the Centers for Medicare & Medicaid Services on 2007-02-08.
As of what date were the details related to David Wiseman most recently updated or revised?
The information pertaining to David Wiseman, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-09.
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