Eddye Blossom in Monroe - Obstetrics & Gynecology
Eddye Blossom - NPI 1003028762
Eddye Blossom is a Obstetrics & Gynecology in Monroe, Louisiana. Eddye Blossom practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Eddye Blossom is 1003028762. The last update date is 2013-01-24.
Eddye Blossom's current location address is 4864 Jackson St, Monroe, Louisiana. You can contact this provider via phone number 3183307626 and fax number 3183307648. The mailing address for Eddye Blossom is 4864 Jackson St, Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Eddye Blossom |
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Address | 4864 Jackson St, Monroe, Louisiana |
Phone Number | 3183307626 |
Fax Number | 3183307648 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1003028762 |
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Provider Enumeration Date | 2007-05-04 |
Last Updated Date | 2013-01-24 |
Provider Mailing Address Detail
Address | 4864 Jackson St |
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City | Monroe |
State | Louisiana (LA) |
Post Code | 712026400 |
Phone Number | 3183307626 |
Fax Number | 3183307648 |
Provider's Primary Taxonomy Detail
Speciality | Obstetrics & Gynecology |
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Taxonomy | 207V00000X |
Licence No | MD.204270 |
Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2138014 | LA | -- |
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What is the Eddye Blossom's unique identification number?
The Eddye Blossom has been assigned the NPI (National Provider Identifier) Number 1003028762 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Eddye Blossom's facilities are situated?
The facilities of Eddye Blossom are physically located at the following address: 4864 Jackson St, Monroe, LA, 712026400.
What is Eddye Blossom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eddye Blossom is Obstetrics & Gynecology, and the taxonomy code that categorizes this field of expertise is 207V00000X.
When did the Eddye Blossom receive its 1003028762?
The Eddye Blossom was issued its 1003028762 on 2007-05-04, which is the date when the organization was assigned this unique identifier.
When was the information regarding Eddye Blossom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eddye Blossom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-01-24.
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