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 --

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FAQs about Tony Roosevelt King

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.

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