John A Broyles in Macon - Pediatric Dermatology
John A Broyles - NPI 1811981368
John A Broyles is a Pediatric Dermatology in Macon, Georgia. John A Broyles practices all healthcare services and medical treatments related to Pediatric Dermatology. The NPI Number for John A Broyles is 1811981368. The last update date is 2015-04-22.
John A Broyles's current location address is 1157 Forsyth St, Macon, Georgia. You can contact this provider via phone number 4787458581 and fax number 4783280438. The mailing address for John A Broyles is 1157 Forsyth St, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | John A Broyles |
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Address | 1157 Forsyth St, Macon, Georgia |
Phone Number | 4787458581 |
Fax Number | 4783280438 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1811981368 |
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Provider Enumeration Date | 2005-09-09 |
Last Updated Date | 2015-04-22 |
Provider Mailing Address Detail
Address | 1157 Forsyth St |
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City | Macon |
State | Georgia (GA) |
Post Code | 312017452 |
Phone Number | 4787458581 |
Fax Number | 4783280438 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dermatology |
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Taxonomy | 207Np0225X |
Licence No | 13257 |
Definition: A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
P00176976 | GA | RAILROAD MEDICARE | |
DC4061 | GA | RAILROAD MEDICARE | |
9501 | GA | -- |
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What is the unique identifier code issued to John A Broyles by the Centers for Medicare & Medicaid Services?
The John A Broyles has been assigned the NPI (National Provider Identifier) 1811981368. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John A Broyles?
The John A Broyles is situated at 1157 Forsyth St, in the city of Macon, state of GA, with the zip code 312017452.
What is John A Broyles's area of expertise and its corresponding taxonomy classification?
The John A Broyles's field of specialization is Pediatric Dermatology, and it falls under the taxonomy code 207Np0225X, which categorizes healthcare providers based on their areas of practice.
On what date did the John A Broyles receive the assignment of its 1811981368 from the Centers for Medicare & Medicaid Services?
The John A Broyles was issued its 1811981368 by the Centers for Medicare & Medicaid Services on 2005-09-09.
When was the John A Broyles's information last updated?
The John A Broyles's information was last updated on 2015-04-22.