Jeffery Trad Wadsworth in Atlanta - Otology & Neurotology
Jeffery Trad Wadsworth - NPI 1578531216
Jeffery Trad Wadsworth is a Otology & Neurotology in Atlanta, Georgia. Jeffery Trad Wadsworth practices all healthcare services and medical treatments related to Otology & Neurotology. The NPI Number for Jeffery Trad Wadsworth is 1578531216. The last update date is 2009-07-01.
Jeffery Trad Wadsworth's current location address is 1365a Clifton Rd Ne, Atlanta, Georgia. You can contact this provider via phone number 4047783381 and fax number 4047784295. The mailing address for Jeffery Trad Wadsworth is 1365a Clifton Rd Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffery Trad Wadsworth |
|---|---|
| Address | 1365a Clifton Rd Ne, Atlanta, Georgia |
| Phone Number | 4047783381 |
| Fax Number | 4047784295 |
| Sole Proprietor | N |
| Credentials | MD, FACS |
NPI Number Detail
| NPI Number | 1578531216 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2009-07-01 |
Provider Mailing Address Detail
| Address | 1365a Clifton Rd Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303221013 |
| Phone Number | 4047783381 |
| Fax Number | 4047784295 |
Provider's Primary Taxonomy Detail
| Speciality | Otology & Neurotology |
|---|---|
| Taxonomy | 207Yx0901X |
| Licence No | 101231639 |
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Definition: An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiolog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6503004 | VA | -- | |
| 89064P3 | NC | -- | |
| PAR | VA | CORVEL/CORCARE | |
| 294562 | VA | UHC/MAMSI | |
| 434684 | VA | ANTHEM | |
| PAR | VA | VA PREMIER HEALTH | |
| PAR | VA | FIRST HEALTH COMMERCIAL | |
| PAR | VA | CIGNA | |
| PAR | VA | USA MANAGED CARE | |
| 064P3 | NC | BC/BS |
Post Comment/ Review Below
What is the Jeffery Trad Wadsworth's 1578531216?
The Jeffery Trad Wadsworth's NPI (National Provider Identifier) Number is 1578531216. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jeffery Trad Wadsworth is located?
The Jeffery Trad Wadsworth is situated at the following address: 1365A Clifton Rd Ne, Atlanta, GA, 303221013.
What is the Jeffery Trad Wadsworth's area of specialization and corresponding taxonomy classification?
The Jeffery Trad Wadsworth's specialty field is Otology & Neurotology, and it falls under the taxonomy code 207Yx0901X, which categorizes healthcare providers based on their specialties.
On what date did the Jeffery Trad Wadsworth receive the assignment of its 1578531216 from the Centers for Medicare & Medicaid Services?
The Jeffery Trad Wadsworth was issued its 1578531216 by the Centers for Medicare & Medicaid Services on 2006-03-09.
As of what date were the Jeffery Trad Wadsworth's details last updated?
The information pertaining to the Jeffery Trad Wadsworth, including its address, specialty, and other details, was most recently updated on 2009-07-01.