Earle F Mazyck in Dothan - Internal Medicine

Earle F Mazyck - NPI 1720079726

Earle F Mazyck is a Internal Medicine in Dothan, Alabama. Earle F Mazyck practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Earle F Mazyck is 1720079726. The last update date is 2009-12-08.

Earle F Mazyck's current location address is 1118 Ross Clark Cir, Dothan, Alabama. You can contact this provider via phone number 3347943192 and fax number 3347927513. The mailing address for Earle F Mazyck is 1118 Ross Clark Cir, Dothan, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Earle F Mazyck
Address 1118 Ross Clark Cir, Dothan, Alabama
Phone Number 3347943192
Fax Number 3347927513
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1720079726
Provider Enumeration Date 2005-10-31
Last Updated Date 2009-12-08

Provider Mailing Address Detail

Address 1118 Ross Clark Cir
City Dothan
State Alabama (AL)
Post Code 363013001
Phone Number 3347943192
Fax Number 3347927513

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 6961
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51552726 AL --
51512613 AL AL BLUE CROSS PROVIDER
P00009152 AL RRMC PROVIDER NUMBER
61659 FL FLORIDA BLUE CROSS NUMBER
4790691001 AL CIGNA PROVIDER NUMBER
00063192A GA GEORGIA MEDICAID NUMBER

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FAQs about Earle F Mazyck

What is the unique 10-digit identification code issued to Earle F Mazyck by the Centers for Medicare & Medicaid Services?

The Earle F Mazyck has been assigned the NPI (National Provider Identifier) 1720079726 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Earle F Mazyck is physically located?

The Earle F Mazyck is situated at the following address: 1118 Ross Clark Cir, Dothan, AL 363013001.

What is Earle F Mazyck's specialized field of practice, and what is the corresponding taxonomy classification code?

The Earle F Mazyck's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720079726 to Earle F Mazyck?

The Centers for Medicare & Medicaid Services originally issued the 1720079726 to Earle F Mazyck on 2005-10-31.

When was the Earle F Mazyck's information last updated?

The Earle F Mazyck's information was last updated on 2009-12-08.

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