Shomari Andre Ruffin in Carrollton - Sports Medicine
Shomari Andre Ruffin - NPI 1114185840
Shomari Andre Ruffin is a Sports Medicine in Carrollton, Georgia. Shomari Andre Ruffin practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Shomari Andre Ruffin is 1114185840. The last update date is 2014-10-30.
Shomari Andre Ruffin's current location address is 150 Clinic Ave, Carrollton, Georgia. You can contact this provider via phone number 7708340873 and fax number 7708346118. The mailing address for Shomari Andre Ruffin is 150 Clinic Ave, Carrollton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shomari Andre Ruffin |
|---|---|
| Address | 150 Clinic Ave, Carrollton, Georgia |
| Phone Number | 7708340873 |
| Fax Number | 7708346118 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114185840 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2014-10-30 |
Provider Mailing Address Detail
| Address | 150 Clinic Ave |
|---|---|
| City | Carrollton |
| State | Georgia (GA) |
| Post Code | 301174401 |
| Phone Number | 7708340873 |
| Fax Number | 7708346118 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 72107 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| REF000630555 | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shomari Andre Ruffin?
The Shomari Andre Ruffin has been issued the NPI (National Provider Identifier) 1114185840 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Shomari Andre Ruffin is located?
The Shomari Andre Ruffin is situated at the following address: 150 Clinic Ave, Carrollton, GA, 301174401.
What is the area of specialization for Shomari Andre Ruffin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shomari Andre Ruffin is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114185840 to Shomari Andre Ruffin?
The Centers for Medicare & Medicaid Services originally issued the 1114185840 to Shomari Andre Ruffin on 2008-05-29.
When was the information related to Shomari Andre Ruffin most recently updated or refreshed?
The details pertaining to the Shomari Andre Ruffin, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-10-30.
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