Malcolm Tatum is a Pharmacist in Pine Mountain, Georgia. Malcolm Tatum practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Malcolm Tatum is 1770768517. The last update date is 2007-12-28.
Malcolm Tatum's current location address is 27 White Oak Pt, Pine Mountain, Georgia. You can contact this provider via phone number 7066639323. The mailing address for Malcolm Tatum is 27 White Oak Pt, Pine Mountain, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Malcolm Tatum |
|---|---|
| Address | 27 White Oak Pt, Pine Mountain, Georgia |
| Phone Number | 7066639323 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1770768517 |
|---|---|
| Provider Enumeration Date | 2007-12-28 |
| Last Updated Date | 2007-12-28 |
Provider Mailing Address Detail
| Address | 27 White Oak Pt |
|---|---|
| City | Pine Mountain |
| State | Georgia (GA) |
| Post Code | 318223523 |
| Phone Number | 7066639323 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 9558 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the unique 10-digit identifier code assigned to Malcolm Tatum by the Centers for Medicare & Medicaid Services?
The Malcolm Tatum has been issued the NPI (National Provider Identifier) 1770768517 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Malcolm Tatum located?
The Malcolm Tatum is located at 27 White Oak Pt, Pine Mountain, GA 318223523.
What is the area of specialization for Malcolm Tatum, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Malcolm Tatum is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
When did the Malcolm Tatum receive its 1770768517?
The Malcolm Tatum was issued its 1770768517 on 2007-12-28, which is the date when the organization was assigned this unique identifier.
When was the Malcolm Tatum's information last updated?
The Malcolm Tatum's information was last updated on 2007-12-28.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY