Alta J. Deroo in Nashville - Addiction Medicine
Alta J. Deroo - NPI 1184791725
Alta J. Deroo is a Addiction Medicine in Nashville, Tennessee. Alta J. Deroo practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Alta J. Deroo is 1184791725. The last update date is 2023-07-26.
Alta J. Deroo's current location address is Po Box 291943, Nashville, Tennessee. You can contact this provider via phone number 8339530829. The mailing address for Alta J. Deroo is Po Box 291943, Nashville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alta J. Deroo |
|---|---|
| Address | Po Box 291943, Nashville, Tennessee |
| Phone Number | 8339530829 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184791725 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2023-07-26 |
Provider Mailing Address Detail
| Address | Po Box 291943 |
|---|---|
| City | Nashville |
| State | Tennessee (TN) |
| Post Code | 372291943 |
| Phone Number | 8339530829 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 2015108 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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What is the unique 10-digit identification code issued to Alta J. Deroo by the Centers for Medicare & Medicaid Services?
The Alta J. Deroo has been assigned the NPI (National Provider Identifier) 1184791725 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Alta J. Deroo?
The Alta J. Deroo is physically situated at Po Box 291943, in the city of Nashville, state of TN, with the postal code 372291943.
What is Alta J. Deroo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Alta J. Deroo's specialized field of practice is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Ra0401X.
When was the Alta J. Deroo's 1184791725 issued?
The Alta J. Deroo's 1184791725 was issued on 2006-11-29.
As of what date were the Alta J. Deroo's details last updated?
The information pertaining to the Alta J. Deroo, including its address, specialty, and other details, was most recently updated on 2023-07-26.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC