Avril Patrice Daisley Shongo in Suwanee - Family Medicine
Avril Patrice Daisley Shongo - NPI 1013965961
Avril Patrice Daisley Shongo is a Family Medicine in Suwanee, Georgia. Avril Patrice Daisley Shongo practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Avril Patrice Daisley Shongo is 1013965961. The last update date is 2020-11-02.
Avril Patrice Daisley Shongo's current location address is 2090 Lawrenceville Suwanee Rd, Suwanee, Georgia. You can contact this provider via phone number 6787834860 and fax number 6789357210. The mailing address for Avril Patrice Daisley Shongo is 2090 Lawrenceville Suwanee Rd, Suwanee, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Avril Patrice Daisley Shongo |
|---|---|
| Address | 2090 Lawrenceville Suwanee Rd, Suwanee, Georgia |
| Phone Number | 6787834860 |
| Fax Number | 6789357210 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013965961 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2020-11-02 |
Provider Mailing Address Detail
| Address | 2090 Lawrenceville Suwanee Rd |
|---|---|
| City | Suwanee |
| State | Georgia (GA) |
| Post Code | 300244639 |
| Phone Number | 6787834860 |
| Fax Number | 6789357210 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 43028 |
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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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What is the unique 10-digit identification code issued to Avril Patrice Daisley Shongo by the Centers for Medicare & Medicaid Services?
The Avril Patrice Daisley Shongo has been assigned the NPI (National Provider Identifier) 1013965961 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Avril Patrice Daisley Shongo?
The Avril Patrice Daisley Shongo is physically situated at 2090 Lawrenceville Suwanee Rd, in the city of Suwanee, state of GA, with the postal code 300244639.
What is the Avril Patrice Daisley Shongo's specialty and taxonomy code?
The Avril Patrice Daisley Shongo's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When was the Avril Patrice Daisley Shongo's 1013965961 issued?
The Avril Patrice Daisley Shongo's 1013965961 was issued on 2006-05-04.
When was the information pertaining to Avril Patrice Daisley Shongo most recently updated or revised?
The details related to Avril Patrice Daisley Shongo, including its address, specialty, and other relevant information, were last updated or revised on 2020-11-02.
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