Northeast Ga Surgical Healthcare in Athens - Specialist
Northeast Ga Surgical Healthcare - NPI 1972640852
Northeast Ga Surgical Healthcare is a Specialist in Athens, Georgia. Northeast Ga Surgical Healthcare practices all healthcare services and medical treatments related to Specialist. The NPI Number for Northeast Ga Surgical Healthcare is 1972640852. The last update date is 2020-08-22.
Northeast Ga Surgical Healthcare's current location address is 740 Prince Ave, Athens, Georgia. You can contact this provider via phone number 7065495554 and fax number 7065487056. The mailing address for Northeast Ga Surgical Healthcare is 740 Prince Ave, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Ga Surgical Healthcare |
|---|---|
| Address | 740 Prince Ave, Athens, Georgia |
| Phone Number | 7065495554 |
| Fax Number | 7065487056 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gunn Walcott Earle |
| Credentials | M.D. |
| Telephone Number | 7065495554 |
NPI Number Detail
| NPI Number | 1972640852 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 740 Prince Ave |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306065908 |
| Phone Number | 7065495554 |
| Fax Number | 7065487056 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
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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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What is the unique 10-digit identifier code issued to Northeast Ga Surgical Healthcare by the Centers for Medicare & Medicaid Services?
The Northeast Ga Surgical Healthcare has been assigned the NPI (National Provider Identifier) 1972640852 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Northeast Ga Surgical Healthcare is located?
The Northeast Ga Surgical Healthcare is situated at the following address: 740 Prince Ave, Athens, GA, 306065908.
What is Northeast Ga Surgical Healthcare's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Northeast Ga Surgical Healthcare is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date was the 1972640852 assigned to Northeast Ga Surgical Healthcare?
The Northeast Ga Surgical Healthcare was issued its 1972640852 on 2007-01-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Northeast Ga Surgical Healthcare's information last updated?
The Northeast Ga Surgical Healthcare's information was last updated on 2020-08-22.
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