Charlene Carla Blache in Valdosta - Pediatrics
Charlene Carla Blache - NPI 1538139712
Charlene Carla Blache is a Pediatrics in Valdosta, Georgia. Charlene Carla Blache practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Charlene Carla Blache is 1538139712. The last update date is 2015-09-08.
Charlene Carla Blache's current location address is 406 M Northside Drive, Valdosta, Georgia. You can contact this provider via phone number 2292410059 and fax number 2292412088. The mailing address for Charlene Carla Blache is 406 M Northside Drive, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Charlene Carla Blache |
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Address | 406 M Northside Drive, Valdosta, Georgia |
Phone Number | 2292410059 |
Fax Number | 2292412088 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1538139712 |
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Provider Enumeration Date | 2006-01-23 |
Last Updated Date | 2015-09-08 |
Provider Mailing Address Detail
Address | 406 M Northside Drive |
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City | Valdosta |
State | Georgia (GA) |
Post Code | 316021853 |
Phone Number | 2292410059 |
Fax Number | 2292412088 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 208000000X |
Licence No | 45728 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
000816593K | GA | -- | |
000816593B | GA | -- | |
000816593L | GA | -- |
Post Comment/ Review Below
What is the Charlene Carla Blache's 1538139712?
The Charlene Carla Blache's NPI (National Provider Identifier) Number is 1538139712. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Charlene Carla Blache located?
The Charlene Carla Blache is located at 406 M Northside Drive, Valdosta, GA 316021853.
What is Charlene Carla Blache's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charlene Carla Blache's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1538139712 to Charlene Carla Blache?
The Charlene Carla Blache received its 1538139712 assignment from the Centers for Medicare & Medicaid Services on 2006-01-23.
As of what date were the details related to Charlene Carla Blache most recently updated or revised?
The information pertaining to Charlene Carla Blache, including its address, specialty, and other relevant details, was last updated or revised on 2015-09-08.