Annamma T. Mammen in Augusta - Family Medicine

Annamma T. Mammen - NPI 1376652453

Annamma T. Mammen is a Family Medicine in Augusta, Georgia. Annamma T. Mammen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Annamma T. Mammen is 1376652453. The last update date is 2011-03-30.

Annamma T. Mammen's current location address is 1499 Walton Way, Augusta, Georgia. You can contact this provider via phone number 7068286410 and fax number 7067225187. The mailing address for Annamma T. Mammen is 1499 Walton Way, Augusta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Annamma T. Mammen
Address 1499 Walton Way, Augusta, Georgia
Phone Number 7068286410
Fax Number 7067225187
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1376652453
Provider Enumeration Date 2006-08-30
Last Updated Date 2011-03-30

Provider Mailing Address Detail

Address 1499 Walton Way
City Augusta
State Georgia (GA)
Post Code 309012602
Phone Number 7068286410
Fax Number 7067225187

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36652
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
000544475A GA --
G36652 SC --

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FAQs about Annamma T. Mammen

What is the unique provider identifier assigned to Annamma T. Mammen?

The Annamma T. Mammen has been issued the NPI (National Provider Identifier) 1376652453 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Annamma T. Mammen?

The Annamma T. Mammen is physically situated at 1499 Walton Way, in the city of Augusta, state of GA, with the postal code 309012602.

What is Annamma T. Mammen's specialized field of practice, and what is the corresponding taxonomy classification code?

The Annamma T. Mammen's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the Annamma T. Mammen receive its 1376652453 assignment from the Centers for Medicare & Medicaid Services?

The Annamma T. Mammen was assigned its 1376652453 by the Centers for Medicare & Medicaid Services on 2006-08-30.

As of what date was the information regarding Annamma T. Mammen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Annamma T. Mammen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-03-30.

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