Camille Mercedes Gardner-Beasley in Joint Base Lewis Mcc - Family Medicine
Camille Mercedes Gardner-Beasley - NPI 1548246085
Camille Mercedes Gardner-Beasley is a Family Medicine in Joint Base Lewis Mcc, Washington. Camille Mercedes Gardner-Beasley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Camille Mercedes Gardner-Beasley is 1548246085. The last update date is 2019-04-02.
Camille Mercedes Gardner-Beasley's current location address is 9040a Jackson Ave, Joint Base Lewis Mcc, Washington. You can contact this provider via phone number 2539681110. The mailing address for Camille Mercedes Gardner-Beasley is 9040a Jackson Ave, Joint Base Lewis Mcc, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Camille Mercedes Gardner-Beasley |
|---|---|
| Address | 9040a Jackson Ave, Joint Base Lewis Mcc, Washington |
| Phone Number | 2539681110 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1548246085 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2019-04-02 |
Provider Mailing Address Detail
| Address | 9040a Jackson Ave |
|---|---|
| City | Joint Base Lewis Mcc |
| State | Washington (WA) |
| Post Code | 984310001 |
| Phone Number | 2539681110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 200700182 |
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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 |
|---|---|---|---|
| 5914115 | NC | -- | |
| 1581405 | AK | -- | |
| MDA0514 | AK | -- |
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What is the unique 10-digit identification code issued to Camille Mercedes Gardner-Beasley by the Centers for Medicare & Medicaid Services?
The Camille Mercedes Gardner-Beasley has been assigned the NPI (National Provider Identifier) 1548246085 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Camille Mercedes Gardner-Beasley's facilities are geographically located?
The facilities of Camille Mercedes Gardner-Beasley are physically situated at the following location: 9040A Jackson Ave, Joint Base Lewis Mcc, WA, 984310001.
What is the Camille Mercedes Gardner-Beasley's area of specialization and corresponding taxonomy classification?
The Camille Mercedes Gardner-Beasley's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Camille Mercedes Gardner-Beasley receive its 1548246085 assignment from the Centers for Medicare & Medicaid Services?
The Camille Mercedes Gardner-Beasley was assigned its 1548246085 by the Centers for Medicare & Medicaid Services on 2005-12-16.
When was the information pertaining to Camille Mercedes Gardner-Beasley most recently updated or revised?
The details related to Camille Mercedes Gardner-Beasley, including its address, specialty, and other relevant information, were last updated or revised on 2019-04-02.