Dewey Todd Detar in Atlanta - Family Medicine
Dewey Todd Detar - NPI 1750499604
Dewey Todd Detar is a Family Medicine in Atlanta, Georgia. Dewey Todd Detar practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dewey Todd Detar is 1750499604. The last update date is 2021-06-09.
Dewey Todd Detar's current location address is Po Box 743070, Atlanta, Georgia. You can contact this provider via phone number 8645604304 and fax number 8645604413. The mailing address for Dewey Todd Detar is Po Box 743070, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dewey Todd Detar |
|---|---|
| Address | Po Box 743070, Atlanta, Georgia |
| Phone Number | 8645604304 |
| Fax Number | 8645604413 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1750499604 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2021-06-09 |
Provider Mailing Address Detail
| Address | Po Box 743070 |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303743070 |
| Phone Number | 8645604304 |
| Fax Number | 8645604413 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2020-00089 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4836 | SC | -- | |
| SC14336067 | SC | MEDICARE PIN | |
| SC14336084 | SC | MEDICARE PIN | |
| SC1433J577 | SC | MEDICARE PIN |
Post Comment/ Review Below
What is the unique identifier code issued to Dewey Todd Detar by the Centers for Medicare & Medicaid Services?
The Dewey Todd Detar has been assigned the NPI (National Provider Identifier) 1750499604. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dewey Todd Detar is geographically located?
The Dewey Todd Detar is physically situated at the following location: Po Box 743070, Atlanta, GA, 303743070.
What is Dewey Todd Detar'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 Dewey Todd Detar is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Dewey Todd Detar receive its 1750499604 assignment from the Centers for Medicare & Medicaid Services?
The Dewey Todd Detar was assigned its 1750499604 by the Centers for Medicare & Medicaid Services on 2006-08-29.
As of what date were the Dewey Todd Detar's details last updated?
The information pertaining to the Dewey Todd Detar, including its address, specialty, and other details, was most recently updated on 2021-06-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY