Northeast Internal Medicine, P.C. in Monroe - Adolescent Medicine
Northeast Internal Medicine, P.C. - NPI 1972636710
Northeast Internal Medicine, P.C. is a Adolescent Medicine in Monroe, Georgia. Northeast Internal Medicine, P.C. practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Northeast Internal Medicine, P.C. is 1972636710. The last update date is 2012-09-18.
Northeast Internal Medicine, P.C.'s current location address is 333 Alcovy St, Monroe, Georgia. You can contact this provider via phone number 7702679484 and fax number 7702671600. The mailing address for Northeast Internal Medicine, P.C. is 333 Alcovy St, Monroe, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Northeast Internal Medicine, P.C. |
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Address | 333 Alcovy St, Monroe, Georgia |
Phone Number | 7702679484 |
Fax Number | 7702671600 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Digamon-Beltran Marilyn |
Credentials | MD |
Telephone Number | 7702679484 |
NPI Number Detail
NPI Number | 1972636710 |
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Provider Enumeration Date | 2007-03-13 |
Last Updated Date | 2012-09-18 |
Provider Mailing Address Detail
Address | 333 Alcovy St |
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City | Monroe |
State | Georgia (GA) |
Post Code | 306552180 |
Phone Number | 7702679484 |
Fax Number | 7702671600 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 207Ra0000X |
Licence No | 27031 |
Definition: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
003124228A | GA | -- | |
3692 | GA | GRP PTAN | |
27031 | GA | LICENSE NUMBER | |
1639254881 | GA | NPI | |
202I118301 | GA | PTAN | |
000299912A | GA | -- | |
1912194960 | GA | NPI | |
65514 | GA | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Northeast Internal Medicine, P.C. by the Centers for Medicare & Medicaid Services?
The Northeast Internal Medicine, P.C. has been issued the NPI (National Provider Identifier) 1972636710 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Northeast Internal Medicine, P.C. is located?
The Northeast Internal Medicine, P.C. is situated at the following address: 333 Alcovy St, Monroe, GA, 306552180.
What is Northeast Internal Medicine, P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Northeast Internal Medicine, P.C.'s area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Ra0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972636710 to Northeast Internal Medicine, P.C.?
The Northeast Internal Medicine, P.C. received its 1972636710 assignment from the Centers for Medicare & Medicaid Services on 2007-03-13.
When was the information regarding Northeast Internal Medicine, P.C. most recently updated?
The details pertaining to the Northeast Internal Medicine, P.C., including its address, specialty, and other relevant information, were last refreshed on 2012-09-18.
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