Richard D Shack in Alpharetta - Family Medicine

Richard D Shack - NPI 1942313572

Richard D Shack is a Family Medicine in Alpharetta, Georgia. Richard D Shack practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Richard D Shack is 1942313572. The last update date is 2015-06-09.

Richard D Shack's current location address is 3400 C Old Milton Parkway, Alpharetta, Georgia. You can contact this provider via phone number 7704421911 and fax number 7706638905. The mailing address for Richard D Shack is 3400 C Old Milton Parkway, Alpharetta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard D Shack
Address 3400 C Old Milton Parkway, Alpharetta, Georgia
Phone Number 7704421911
Fax Number 7706638905
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1942313572
Provider Enumeration Date 2006-08-17
Last Updated Date 2015-06-09

Provider Mailing Address Detail

Address 3400 C Old Milton Parkway
City Alpharetta
State Georgia (GA)
Post Code 30005
Phone Number 7704421911
Fax Number 7706638905

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 22858
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
9960760 AL --
51502030 AL BCBS

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FAQs about Richard D Shack

What is the unique identifier code issued to Richard D Shack by the Centers for Medicare & Medicaid Services (CMS)?

The Richard D Shack has been assigned the NPI (National Provider Identifier) 1942313572. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Richard D Shack is physically located?

The Richard D Shack is physically situated at the following address: 3400 C Old Milton Parkway, Alpharetta, GA, 30005.

What is Richard D Shack'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 Richard D Shack is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1942313572 to Richard D Shack?

The Centers for Medicare & Medicaid Services originally issued the 1942313572 to Richard D Shack on 2006-08-17.

As of what date was the information pertaining to Richard D Shack, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Richard D Shack, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-06-09.

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