Bert Puckett Wall in Barnesville - Family Medicine
Bert Puckett Wall - NPI 1154423754
Bert Puckett Wall is a Family Medicine in Barnesville, Georgia. Bert Puckett Wall practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bert Puckett Wall is 1154423754. The last update date is 2007-07-09.
Bert Puckett Wall's current location address is 526 College Dr, Barnesville, Georgia. You can contact this provider via phone number 7703583284 and fax number 7703581015. The mailing address for Bert Puckett Wall is 526 College Dr, Barnesville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bert Puckett Wall |
|---|---|
| Address | 526 College Dr, Barnesville, Georgia |
| Phone Number | 7703583284 |
| Fax Number | 7703581015 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1154423754 |
|---|---|
| Provider Enumeration Date | 2006-09-03 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 526 College Dr |
|---|---|
| City | Barnesville |
| State | Georgia (GA) |
| Post Code | 302041713 |
| Phone Number | 7703583284 |
| Fax Number | 7703581015 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 48003 |
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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 |
|---|---|---|---|
| 00841035G | GA | -- | |
| 52782413003 | GA | BC / BS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bert Puckett Wall by the Centers for Medicare & Medicaid Services?
The Bert Puckett Wall has been issued the NPI (National Provider Identifier) 1154423754, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bert Puckett Wall located?
The Bert Puckett Wall is located at 526 College Dr, Barnesville, GA 302041713.
What is Bert Puckett Wall's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bert Puckett Wall is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154423754 to Bert Puckett Wall?
The Bert Puckett Wall received its 1154423754 assignment from the Centers for Medicare & Medicaid Services on 2006-09-03.
As of what date were the details related to Bert Puckett Wall most recently updated or revised?
The information pertaining to Bert Puckett Wall, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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