Wise Medical Group in Coeburn - Family Medicine
Wise Medical Group - NPI 1578603924
Wise Medical Group is a Family Medicine in Coeburn, Virginia. Wise Medical Group practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Wise Medical Group is 1578603924. The last update date is 2020-08-22.
Wise Medical Group's current location address is 203 Front St West, Coeburn, Virginia. You can contact this provider via phone number 2763955983 and fax number 2763955986. The mailing address for Wise Medical Group is 203 Front St West, Coeburn, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wise Medical Group |
|---|---|
| Address | 203 Front St West, Coeburn, Virginia |
| Phone Number | 2763955983 |
| Fax Number | 2763955986 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Fajardo Abrantes Romulo |
| Credentials | MD |
| Telephone Number | 1276395598 |
NPI Number Detail
| NPI Number | 1578603924 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 203 Front St West |
|---|---|
| City | Coeburn |
| State | Virginia (VA) |
| Post Code | 24230 |
| Phone Number | 2763955983 |
| Fax Number | 2763955986 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 101221509 |
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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 identifier code issued to Wise Medical Group by the Centers for Medicare & Medicaid Services?
The Wise Medical Group has been assigned the NPI (National Provider Identifier) 1578603924. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Wise Medical Group is located?
The Wise Medical Group is situated at the following address: 203 Front St West, Coeburn, VA, 24230.
What is the Wise Medical Group's specialty and taxonomy code?
The Wise Medical Group's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578603924 to Wise Medical Group?
The Centers for Medicare & Medicaid Services originally issued the 1578603924 to Wise Medical Group on 2007-02-07.
When was the information pertaining to Wise Medical Group most recently updated or revised?
The details related to Wise Medical Group, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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