Miriam P Gwathney in Forest Park - Family Medicine
Miriam P Gwathney - NPI 1881698546
Miriam P Gwathney is a Family Medicine in Forest Park, Georgia. Miriam P Gwathney practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Miriam P Gwathney is 1881698546. The last update date is 2023-05-02.
Miriam P Gwathney's current location address is 1057 Main St, Forest Park, Georgia. You can contact this provider via phone number 4043014555 and fax number 4043014482. The mailing address for Miriam P Gwathney is 1057 Main St, Forest Park, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Miriam P Gwathney |
|---|---|
| Address | 1057 Main St, Forest Park, Georgia |
| Phone Number | 4043014555 |
| Fax Number | 4043014482 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1881698546 |
|---|---|
| Provider Enumeration Date | 2005-06-10 |
| Last Updated Date | 2023-05-02 |
Provider Mailing Address Detail
| Address | 1057 Main St |
|---|---|
| City | Forest Park |
| State | Georgia (GA) |
| Post Code | 3029714820 |
| Phone Number | 4043014555 |
| Fax Number | 4043014482 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OS8157 |
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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 |
|---|---|---|---|
| 261406500 | FL | -- |
Post Comment/ Review Below
What is the Miriam P Gwathney's unique identification number?
The Miriam P Gwathney has been assigned the NPI (National Provider Identifier) Number 1881698546 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Miriam P Gwathney's facilities are geographically located?
The facilities of Miriam P Gwathney are physically situated at the following location: 1057 Main St, Forest Park, GA, 3029714820.
What is Miriam P Gwathney's specialized field of practice, and what is the corresponding taxonomy classification code?
The Miriam P Gwathney's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did Miriam P Gwathney receive its 1881698546 assignment from the Centers for Medicare & Medicaid Services?
The Miriam P Gwathney was assigned its 1881698546 on 2005-06-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Miriam P Gwathney, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Miriam P Gwathney, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-05-02.