Gwendolyn Holdiness Proctor in Monroe - Family Medicine
Gwendolyn Holdiness Proctor - NPI 1316114564
Gwendolyn Holdiness Proctor is a Family Medicine in Monroe, Louisiana. Gwendolyn Holdiness Proctor practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gwendolyn Holdiness Proctor is 1316114564. The last update date is 2011-09-07.
Gwendolyn Holdiness Proctor's current location address is 130 Desiard St, Monroe, Louisiana. You can contact this provider via phone number 3188077875 and fax number 3188129997. The mailing address for Gwendolyn Holdiness Proctor is 130 Desiard St, Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwendolyn Holdiness Proctor |
|---|---|
| Address | 130 Desiard St, Monroe, Louisiana |
| Phone Number | 3188077875 |
| Fax Number | 3188129997 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316114564 |
|---|---|
| Provider Enumeration Date | 2008-05-15 |
| Last Updated Date | 2011-09-07 |
Provider Mailing Address Detail
| Address | 130 Desiard St |
|---|---|
| City | Monroe |
| State | Louisiana (LA) |
| Post Code | 712017319 |
| Phone Number | 3188077875 |
| Fax Number | 3188129997 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 204506 |
|
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 |
|---|---|---|---|
| 5818 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gwendolyn Holdiness Proctor by the Centers for Medicare & Medicaid Services?
The Gwendolyn Holdiness Proctor has been issued the NPI (National Provider Identifier) 1316114564 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Gwendolyn Holdiness Proctor?
The Gwendolyn Holdiness Proctor is physically situated at 130 Desiard St, in the city of Monroe, state of LA, with the postal code 712017319.
What is the Gwendolyn Holdiness Proctor's specialty and taxonomy code?
The Gwendolyn Holdiness Proctor's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316114564 to Gwendolyn Holdiness Proctor?
The Gwendolyn Holdiness Proctor received its 1316114564 assignment from the Centers for Medicare & Medicaid Services on 2008-05-15.
As of what date was the information regarding Gwendolyn Holdiness Proctor, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gwendolyn Holdiness Proctor, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-09-07.