Russell Jay Bozeman in Statesboro - Geriatric
Russell Jay Bozeman - NPI 1366637142
Russell Jay Bozeman is a Geriatric in Statesboro, Georgia. Russell Jay Bozeman practices all healthcare services and medical treatments related to Geriatric. The NPI Number for Russell Jay Bozeman is 1366637142. The last update date is 2007-09-13.
Russell Jay Bozeman's current location address is 10929 Us Highway 301 S, Statesboro, Georgia. You can contact this provider via phone number 9127647839 and fax number 9124891519. The mailing address for Russell Jay Bozeman is 10929 Us Highway 301 S, Statesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Jay Bozeman |
|---|---|
| Address | 10929 Us Highway 301 S, Statesboro, Georgia |
| Phone Number | 9127647839 |
| Fax Number | 9124891519 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1366637142 |
|---|---|
| Provider Enumeration Date | 2007-09-13 |
| Last Updated Date | 2007-09-13 |
Provider Mailing Address Detail
| Address | 10929 Us Highway 301 S |
|---|---|
| City | Statesboro |
| State | Georgia (GA) |
| Post Code | 304587774 |
| Phone Number | 9127647839 |
| Fax Number | 9124891519 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric |
|---|---|
| Taxonomy | 1835G0303X |
| Licence No | 14782 |
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Definition: A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision o |
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What is the Russell Jay Bozeman's unique identification number?
The Russell Jay Bozeman has been assigned the NPI (National Provider Identifier) Number 1366637142 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Russell Jay Bozeman's physical address?
The Russell Jay Bozeman is physically located at 10929 Us Highway 301 S, in the city of Statesboro, GA, with the postal code 304587774.
What is Russell Jay Bozeman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Russell Jay Bozeman is Geriatric, and the corresponding taxonomy classification code for this specialized field is 1835G0303X.
On what date did Russell Jay Bozeman receive its 1366637142 assignment from the Centers for Medicare & Medicaid Services?
The Russell Jay Bozeman was assigned its 1366637142 on 2007-09-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Russell Jay Bozeman's information last updated?
The Russell Jay Bozeman's information was last updated on 2007-09-13.
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