Le Roy Gurganious in Fayetteville - Orthopaedic Surgery

Le Roy Gurganious - NPI 1710097290

Le Roy Gurganious is a Orthopaedic Surgery in Fayetteville, Tennessee. Le Roy Gurganious practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Le Roy Gurganious is 1710097290. The last update date is 2011-06-02.

Le Roy Gurganious's current location address is 108 Medical Center Blvd, Fayetteville, Tennessee. You can contact this provider via phone number 9314331102 and fax number 9314330522. The mailing address for Le Roy Gurganious is 108 Medical Center Blvd, Fayetteville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Le Roy Gurganious
Address 108 Medical Center Blvd, Fayetteville, Tennessee
Phone Number 9314331102
Fax Number 9314330522
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1710097290
Provider Enumeration Date 2006-08-30
Last Updated Date 2011-06-02

Provider Mailing Address Detail

Address 108 Medical Center Blvd
City Fayetteville
State Tennessee (TN)
Post Code 373342741
Phone Number 9314331102
Fax Number 9314330522

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 43870
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2864255 FL AETNA HMO
5261266 FL AETNA PPO
8913135002 FL CIGNA
1508795 TN --
P00084628 FL RAILROAD MEDICARE

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FAQs about Le Roy Gurganious

What is the unique identifier code issued to Le Roy Gurganious by the Centers for Medicare & Medicaid Services (CMS)?

The Le Roy Gurganious has been assigned the NPI (National Provider Identifier) 1710097290. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Le Roy Gurganious?

The Le Roy Gurganious is physically situated at 108 Medical Center Blvd, in the city of Fayetteville, state of TN, with the postal code 373342741.

What is Le Roy Gurganious's specialized field of practice, and what is the corresponding taxonomy classification code?

The Le Roy Gurganious's area of specialization is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207X00000X.

On what date did Le Roy Gurganious receive its 1710097290 assignment from the Centers for Medicare & Medicaid Services?

The Le Roy Gurganious was assigned its 1710097290 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Le Roy Gurganious most recently updated?

The details pertaining to the Le Roy Gurganious, including its address, specialty, and other relevant information, were last refreshed on 2011-06-02.

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