East 29Th St Medical Associates, P.C. in Warner Robins - Internal Medicine

East 29Th St Medical Associates, P.C. - NPI 1740315225

East 29Th St Medical Associates, P.C. is a Internal Medicine in Warner Robins, Georgia. East 29Th St Medical Associates, P.C. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for East 29Th St Medical Associates, P.C. is 1740315225. The last update date is 2011-03-24.

East 29Th St Medical Associates, P.C.'s current location address is 716 Huntington Chase Ct, Warner Robins, Georgia. You can contact this provider via phone number 2012818692. The mailing address for East 29Th St Medical Associates, P.C. is 716 Huntington Chase Ct, Warner Robins, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization East 29Th St Medical Associates, P.C.
Address 716 Huntington Chase Ct, Warner Robins, Georgia
Phone Number 2012818692
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Samuel D Shelly
Credentials MD
Telephone Number 2012818692

NPI Number Detail

NPI Number 1740315225
Provider Enumeration Date 2007-02-23
Last Updated Date 2011-03-24

Provider Mailing Address Detail

Address 716 Huntington Chase Ct
City Warner Robins
State Georgia (GA)
Post Code 310882681
Phone Number 2012818692
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MA71838
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
8598703 NJ --

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FAQs about East 29Th St Medical Associates, P.C.

What is the unique 10-digit identification code issued to East 29Th St Medical Associates, P.C. by the Centers for Medicare & Medicaid Services?

The East 29Th St Medical Associates, P.C. has been assigned the NPI (National Provider Identifier) 1740315225 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where East 29Th St Medical Associates, P.C.'s facilities are situated?

The facilities of East 29Th St Medical Associates, P.C. are physically located at the following address: 716 Huntington Chase Ct, Warner Robins, GA, 310882681.

What is East 29Th St Medical Associates, P.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for East 29Th St Medical Associates, P.C. is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1740315225 to East 29Th St Medical Associates, P.C.?

The East 29Th St Medical Associates, P.C. received its 1740315225 assignment from the Centers for Medicare & Medicaid Services on 2007-02-23.

When was the information pertaining to East 29Th St Medical Associates, P.C. most recently updated or revised?

The details related to East 29Th St Medical Associates, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2011-03-24.

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