Slade Alan Suchecki in Southport - Family Medicine
Slade Alan Suchecki - NPI 1194839647
Slade Alan Suchecki is a Family Medicine in Southport, North Carolina. Slade Alan Suchecki practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Slade Alan Suchecki is 1194839647. The last update date is 2010-02-08.
Slade Alan Suchecki's current location address is 3960 Executive Park Blvd, Southport, North Carolina. You can contact this provider via phone number 9104544343 and fax number 9104579209. The mailing address for Slade Alan Suchecki is 3960 Executive Park Blvd, Southport, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Slade Alan Suchecki |
|---|---|
| Address | 3960 Executive Park Blvd, Southport, North Carolina |
| Phone Number | 9104544343 |
| Fax Number | 9104579209 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1194839647 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2010-02-08 |
Provider Mailing Address Detail
| Address | 3960 Executive Park Blvd |
|---|---|
| City | Southport |
| State | North Carolina (NC) |
| Post Code | 284618184 |
| Phone Number | 9104544343 |
| Fax Number | 9104579209 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 200401133 |
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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 identification code assigned to Slade Alan Suchecki by the Centers for Medicare & Medicaid Services?
The Slade Alan Suchecki has been issued the NPI (National Provider Identifier) 1194839647. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Slade Alan Suchecki's facilities are situated?
The facilities of Slade Alan Suchecki are physically located at the following address: 3960 Executive Park Blvd, Southport, NC, 284618184.
What is Slade Alan Suchecki's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Slade Alan Suchecki is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When did the Slade Alan Suchecki receive its 1194839647?
The Slade Alan Suchecki was issued its 1194839647 on 2006-08-19, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Slade Alan Suchecki, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Slade Alan Suchecki, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-02-08.