Tony Roosevelt King in Disputanta - Family Medicine
Tony Roosevelt King - NPI 1851518831
Tony Roosevelt King is a Family Medicine in Disputanta, Virginia. Tony Roosevelt King practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tony Roosevelt King is 1851518831. The last update date is 2007-07-08.
Tony Roosevelt King's current location address is 13428 Queen St, Disputanta, Virginia. You can contact this provider via phone number 8049919101. The mailing address for Tony Roosevelt King is 13428 Queen St, Disputanta, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tony Roosevelt King |
---|---|
Address | 13428 Queen St, Disputanta, Virginia |
Phone Number | 8049919101 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1851518831 |
---|---|
Provider Enumeration Date | 2007-04-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 13428 Queen St |
---|---|
City | Disputanta |
State | Virginia (VA) |
Post Code | 238426235 |
Phone Number | 8049919101 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
---|---|
Taxonomy | 207Q00000X |
Licence No | 48987 |
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 |
---|---|---|---|
56-1868-1 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tony Roosevelt King by the Centers for Medicare & Medicaid Services?
The Tony Roosevelt King has been assigned the NPI (National Provider Identifier) 1851518831 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Tony Roosevelt King?
The Tony Roosevelt King is situated at 13428 Queen St, in the city of Disputanta, state of VA, with the zip code 238426235.
What is Tony Roosevelt King's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tony Roosevelt King's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1851518831 to Tony Roosevelt King?
The Tony Roosevelt King received its 1851518831 assignment from the Centers for Medicare & Medicaid Services on 2007-04-19.
As of what date were the Tony Roosevelt King's details last updated?
The information pertaining to the Tony Roosevelt King, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA