Wanda V Mcmicheal in Fort Smith - Family Medicine

Wanda V Mcmicheal - NPI 1619994316

Wanda V Mcmicheal is a Family Medicine in Fort Smith, Arkansas. Wanda V Mcmicheal practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Wanda V Mcmicheal is 1619994316. The last update date is 2017-04-19.

Wanda V Mcmicheal's current location address is 4900 Kelley Hwy, Fort Smith, Arkansas. You can contact this provider via phone number 4797855700 and fax number 4797855708. The mailing address for Wanda V Mcmicheal is 4900 Kelley Hwy, Fort Smith, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Wanda V Mcmicheal
Address 4900 Kelley Hwy, Fort Smith, Arkansas
Phone Number 4797855700
Fax Number 4797855708
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619994316
Provider Enumeration Date 2006-07-17
Last Updated Date 2017-04-19

Provider Mailing Address Detail

Address 4900 Kelley Hwy
City Fort Smith
State Arkansas (AR)
Post Code 729045000
Phone Number 4797855700
Fax Number 4797855708

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No E-0997
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
129704001 AR --
80084040 RR MEDICARE

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FAQs about Wanda V Mcmicheal

What is the unique 10-digit identifier code assigned to Wanda V Mcmicheal by the Centers for Medicare & Medicaid Services?

The Wanda V Mcmicheal has been issued the NPI (National Provider Identifier) 1619994316 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Wanda V Mcmicheal?

The Wanda V Mcmicheal is physically situated at 4900 Kelley Hwy, in the city of Fort Smith, state of AR, with the postal code 729045000.

What is the Wanda V Mcmicheal's specialty and taxonomy code?

The Wanda V Mcmicheal's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did Wanda V Mcmicheal receive its 1619994316 assignment from the Centers for Medicare & Medicaid Services?

The Wanda V Mcmicheal was assigned its 1619994316 on 2006-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Wanda V Mcmicheal's information last updated?

The Wanda V Mcmicheal's information was last updated on 2017-04-19.

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