Athena T Jolly in Williamsport - Internal Medicine
Athena T Jolly - NPI 1649324930
Athena T Jolly is a Internal Medicine in Williamsport, Pennsylvania. Athena T Jolly practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Athena T Jolly is 1649324930. The last update date is 2016-12-05.
Athena T Jolly's current location address is 1201 Grampian Blvd, Williamsport, Pennsylvania. You can contact this provider via phone number 5703268723 and fax number 5703268922. The mailing address for Athena T Jolly is 1201 Grampian Blvd, Williamsport, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Athena T Jolly |
|---|---|
| Address | 1201 Grampian Blvd, Williamsport, Pennsylvania |
| Phone Number | 5703268723 |
| Fax Number | 5703268922 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1649324930 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2016-12-05 |
Provider Mailing Address Detail
| Address | 1201 Grampian Blvd |
|---|---|
| City | Williamsport |
| State | Pennsylvania (PA) |
| Post Code | 177011900 |
| Phone Number | 5703268723 |
| Fax Number | 5703268922 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | C1-0000709 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C1-0000709 | DE | PROFESSIONAL LICENSE | |
| 1000030188 | DE | -- | |
| MD043019E | PA | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Athena T Jolly by the Centers for Medicare & Medicaid Services?
The Athena T Jolly has been issued the NPI (National Provider Identifier) 1649324930 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Athena T Jolly?
The Athena T Jolly is situated at 1201 Grampian Blvd, in the city of Williamsport, state of PA, with the zip code 177011900.
What is the Athena T Jolly's area of specialization and corresponding taxonomy classification?
The Athena T Jolly's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
When did Athena T Jolly receive its 1649324930 assignment?
The Athena T Jolly was assigned its 1649324930 on 2007-01-23, which is the date when this unique identifier was issued to the organization.
When was the information regarding Athena T Jolly, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Athena T Jolly, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-12-05.
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