Suzana Mara Montana in Peachtree Corners - Pediatrics
Suzana Mara Montana - NPI 1417905878
Suzana Mara Montana is a Pediatrics in Peachtree Corners, Georgia. Suzana Mara Montana practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Suzana Mara Montana is 1417905878. The last update date is 2015-05-05.
Suzana Mara Montana's current location address is 3780 Holcomb Bridge Rd, Peachtree Corners, Georgia. You can contact this provider via phone number 7702639101 and fax number 7702639102. The mailing address for Suzana Mara Montana is 3780 Holcomb Bridge Rd, Peachtree Corners, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzana Mara Montana |
|---|---|
| Address | 3780 Holcomb Bridge Rd, Peachtree Corners, Georgia |
| Phone Number | 7702639101 |
| Fax Number | 7702639102 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417905878 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2015-05-05 |
Provider Mailing Address Detail
| Address | 3780 Holcomb Bridge Rd |
|---|---|
| City | Peachtree Corners |
| State | Georgia (GA) |
| Post Code | 300922701 |
| Phone Number | 7702639101 |
| Fax Number | 7702639102 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 45097 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000773209U | GA | -- |
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What is the unique 10-digit identifier code issued to Suzana Mara Montana by the Centers for Medicare & Medicaid Services?
The Suzana Mara Montana has been assigned the NPI (National Provider Identifier) 1417905878 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Suzana Mara Montana located?
The Suzana Mara Montana is located at 3780 Holcomb Bridge Rd, Peachtree Corners, GA 300922701.
What is the Suzana Mara Montana's specialty and taxonomy code?
The Suzana Mara Montana's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417905878 to Suzana Mara Montana?
The Centers for Medicare & Medicaid Services originally issued the 1417905878 to Suzana Mara Montana on 2006-05-05.
As of what date were the Suzana Mara Montana's details last updated?
The information pertaining to the Suzana Mara Montana, including its address, specialty, and other details, was most recently updated on 2015-05-05.