Patrice Gibson Chishom in Clarkston - Pediatrics
Patrice Gibson Chishom - NPI 1366441032
Patrice Gibson Chishom is a Pediatrics in Clarkston, Georgia. Patrice Gibson Chishom practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Patrice Gibson Chishom is 1366441032. The last update date is 2022-03-20.
Patrice Gibson Chishom's current location address is 4112 E Ponce De Leon Ave, Clarkston, Georgia. You can contact this provider via phone number 4042897133 and fax number 4042897211. The mailing address for Patrice Gibson Chishom is 4112 E Ponce De Leon Ave, Clarkston, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrice Gibson Chishom |
|---|---|
| Address | 4112 E Ponce De Leon Ave, Clarkston, Georgia |
| Phone Number | 4042897133 |
| Fax Number | 4042897211 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366441032 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2022-03-20 |
Provider Mailing Address Detail
| Address | 4112 E Ponce De Leon Ave |
|---|---|
| City | Clarkston |
| State | Georgia (GA) |
| Post Code | 300218106 |
| Phone Number | 4042897133 |
| Fax Number | 4042897211 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 45185 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Post Comment/ Review Below
What is the unique identifier code issued to Patrice Gibson Chishom by the Centers for Medicare & Medicaid Services (CMS)?
The Patrice Gibson Chishom has been assigned the NPI (National Provider Identifier) 1366441032. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Patrice Gibson Chishom?
The Patrice Gibson Chishom is situated at 4112 E Ponce De Leon Ave, in the city of Clarkston, state of GA, with the zip code 300218106.
What is Patrice Gibson Chishom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Patrice Gibson Chishom is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366441032 to Patrice Gibson Chishom?
The Centers for Medicare & Medicaid Services assigned the 1366441032 to Patrice Gibson Chishom on 2005-07-15.
As of what date was the information pertaining to Patrice Gibson Chishom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Patrice Gibson Chishom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-03-20.