Mira Boone is a Family Medicine in Winston Salem, North Carolina. Mira Boone practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mira Boone is 1053511642. The last update date is 2018-05-08.
Mira Boone's current location address is Medical Center Blvd, Winston Salem, North Carolina. You can contact this provider via phone number 3367165599 and fax number 3367163202. The mailing address for Mira Boone is Medical Center Blvd, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mira Boone |
|---|---|
| Address | Medical Center Blvd, Winston Salem, North Carolina |
| Phone Number | 3367165599 |
| Fax Number | 3367163202 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1053511642 |
|---|---|
| Provider Enumeration Date | 2007-07-20 |
| Last Updated Date | 2018-05-08 |
Provider Mailing Address Detail
| Address | Medical Center Blvd |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271570001 |
| Phone Number | 3367165599 |
| Fax Number | 3367163202 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2008-00571 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5909947 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mira Boone by the Centers for Medicare & Medicaid Services?
The Mira Boone has been assigned the NPI (National Provider Identifier) 1053511642 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mira Boone?
The Mira Boone is physically situated at Medical Center Blvd, in the city of Winston Salem, state of NC, with the postal code 271570001.
What is Mira Boone's area of expertise and its corresponding taxonomy classification?
The Mira Boone's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mira Boone receive the assignment of its 1053511642 from the Centers for Medicare & Medicaid Services?
The Mira Boone was issued its 1053511642 by the Centers for Medicare & Medicaid Services on 2007-07-20.
As of what date was the information regarding Mira Boone, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mira Boone, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-05-08.
Address: 2929 E Thomas Rd, Phoenix, AZ
Address: 5450 Frantz Rd Ste 360, Dublin, OH
Address: Po Box 9, Kingsport, TN
Address: 716 West Columbia Street, Chippewa Falls, WI
Address: 220 Pine St, Williamstown, NJ
Address: 220 Pine St, Williamstown, NJ
Address: Po Box 778, Dickson, TN
Address: 1701n Green Valley Pkwy 5c, Henderson, NV
Address: 500 Old York Road, Jenkintown, PA
Address: Po Box 19070, Green Bay, WI
Address: 1001 W Fayette St, Syracuse, NY
Address: 500 Fort Worth Dr Ste 140, Denton, TX
Address: 75 Hospital Dr, Athens, OH
Address: 1275 Dick Lonas Rd Unit 101, Knoxville, TN
Address: 128 N Locust St, Oak Harbor, OH