Shaveanda L. Queen in Stone Mountain - Pediatrics
Shaveanda L. Queen - NPI 1972600922
Shaveanda L. Queen is a Pediatrics in Stone Mountain, Georgia. Shaveanda L. Queen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shaveanda L. Queen is 1972600922. The last update date is 2014-12-15.
Shaveanda L. Queen's current location address is 5582 Memorial Dr, Stone Mountain, Georgia. You can contact this provider via phone number 4042988998 and fax number 4042987658. The mailing address for Shaveanda L. Queen is 5582 Memorial Dr, Stone Mountain, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shaveanda L. Queen |
|---|---|
| Address | 5582 Memorial Dr, Stone Mountain, Georgia |
| Phone Number | 4042988998 |
| Fax Number | 4042987658 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1972600922 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2014-12-15 |
Provider Mailing Address Detail
| Address | 5582 Memorial Dr |
|---|---|
| City | Stone Mountain |
| State | Georgia (GA) |
| Post Code | 300833215 |
| Phone Number | 4042988998 |
| Fax Number | 4042987658 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 40764 |
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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 |
|---|---|---|---|
| 000717043D | GA | -- |
Post Comment/ Review Below
What is the Shaveanda L. Queen's unique identification number?
The Shaveanda L. Queen has been assigned the NPI (National Provider Identifier) Number 1972600922 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Shaveanda L. Queen is physically located?
The Shaveanda L. Queen is situated at the following address: 5582 Memorial Dr, Stone Mountain, GA 300833215.
What is Shaveanda L. Queen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shaveanda L. Queen is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972600922 to Shaveanda L. Queen?
The Shaveanda L. Queen received its 1972600922 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.
As of what date were the details pertaining to Shaveanda L. Queen last refreshed?
The information related to the Shaveanda L. Queen, including its address, specialty, and other relevant details, was last updated on 2014-12-15.