Robert Wayne Dunavant in Bolivar - Family Medicine
Robert Wayne Dunavant - NPI 1134255078
Robert Wayne Dunavant is a Family Medicine in Bolivar, Tennessee. Robert Wayne Dunavant practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Robert Wayne Dunavant is 1134255078. The last update date is 2011-02-28.
Robert Wayne Dunavant's current location address is 610 Nuckolls Rd, Bolivar, Tennessee. You can contact this provider via phone number 7316587111 and fax number 7316584328. The mailing address for Robert Wayne Dunavant is 610 Nuckolls Rd, Bolivar, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Wayne Dunavant |
|---|---|
| Address | 610 Nuckolls Rd, Bolivar, Tennessee |
| Phone Number | 7316587111 |
| Fax Number | 7316584328 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1134255078 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2011-02-28 |
Provider Mailing Address Detail
| Address | 610 Nuckolls Rd |
|---|---|
| City | Bolivar |
| State | Tennessee (TN) |
| Post Code | 380081532 |
| Phone Number | 7316587111 |
| Fax Number | 7316584328 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD8754 |
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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 |
|---|---|---|---|
| 3173148 | TN | -- | |
| 80168230 | TN | MEDICARE RAILROAD | |
| 3141919 | TN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Robert Wayne Dunavant by the Centers for Medicare & Medicaid Services?
The Robert Wayne Dunavant has been assigned the NPI (National Provider Identifier) 1134255078. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Robert Wayne Dunavant's physical address?
The Robert Wayne Dunavant is physically located at 610 Nuckolls Rd, in the city of Bolivar, TN, with the postal code 380081532.
What is the Robert Wayne Dunavant's specialty and taxonomy code?
The Robert Wayne Dunavant's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date was the 1134255078 assigned to Robert Wayne Dunavant?
The Robert Wayne Dunavant was issued its 1134255078 on 2007-02-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Robert Wayne Dunavant, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Robert Wayne Dunavant, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-02-28.