Dwan Shirmelle Mabry in Hammond - Gynecology
Dwan Shirmelle Mabry - NPI 1104822782
Dwan Shirmelle Mabry is a Gynecology in Hammond, Louisiana. Dwan Shirmelle Mabry practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Dwan Shirmelle Mabry is 1104822782. The last update date is 2013-09-19.
Dwan Shirmelle Mabry's current location address is 15748 Medical Arts Dr, Hammond, Louisiana. You can contact this provider via phone number 9855420663 and fax number 9855427010. The mailing address for Dwan Shirmelle Mabry is 15748 Medical Arts Dr, Hammond, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwan Shirmelle Mabry |
|---|---|
| Address | 15748 Medical Arts Dr, Hammond, Louisiana |
| Phone Number | 9855420663 |
| Fax Number | 9855427010 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104822782 |
|---|---|
| Provider Enumeration Date | 2005-06-28 |
| Last Updated Date | 2013-09-19 |
Provider Mailing Address Detail
| Address | 15748 Medical Arts Dr |
|---|---|
| City | Hammond |
| State | Louisiana (LA) |
| Post Code | 704031446 |
| Phone Number | 9855420663 |
| Fax Number | 9855427010 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | MD.022096 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1491853 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dwan Shirmelle Mabry by the Centers for Medicare & Medicaid Services?
The Dwan Shirmelle Mabry has been assigned the NPI (National Provider Identifier) 1104822782. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Dwan Shirmelle Mabry?
The Dwan Shirmelle Mabry is physically situated at 15748 Medical Arts Dr, in the city of Hammond, state of LA, with the postal code 704031446.
What is the Dwan Shirmelle Mabry's area of specialization and corresponding taxonomy classification?
The Dwan Shirmelle Mabry's specialty field is Gynecology, and it falls under the taxonomy code 207Vg0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1104822782 to Dwan Shirmelle Mabry?
The Dwan Shirmelle Mabry received its 1104822782 assignment from the Centers for Medicare & Medicaid Services on 2005-06-28.
As of what date were the Dwan Shirmelle Mabry's details last updated?
The information pertaining to the Dwan Shirmelle Mabry, including its address, specialty, and other details, was most recently updated on 2013-09-19.