Mark Custodio Oliver in Columbus - Pediatrics
Mark Custodio Oliver - NPI 1275649758
Mark Custodio Oliver is a Pediatrics in Columbus, Georgia. Mark Custodio Oliver practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mark Custodio Oliver is 1275649758. The last update date is 2020-03-20.
Mark Custodio Oliver's current location address is 2416 Capstone Ct, Columbus, Georgia. You can contact this provider via phone number 7063271281 and fax number 7065769714. The mailing address for Mark Custodio Oliver is 2416 Capstone Ct, Columbus, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Custodio Oliver |
|---|---|
| Address | 2416 Capstone Ct, Columbus, Georgia |
| Phone Number | 7063271281 |
| Fax Number | 7065769714 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1275649758 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2020-03-20 |
Provider Mailing Address Detail
| Address | 2416 Capstone Ct |
|---|---|
| City | Columbus |
| State | Georgia (GA) |
| Post Code | 319092795 |
| Phone Number | 7063271281 |
| Fax Number | 7065769714 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 48557 |
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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 |
|---|---|---|---|
| 48557 | GA | LICENSE NUMBER | |
| 00867765A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Custodio Oliver by the Centers for Medicare & Medicaid Services?
The Mark Custodio Oliver has been assigned the NPI (National Provider Identifier) 1275649758. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark Custodio Oliver?
The Mark Custodio Oliver is physically situated at 2416 Capstone Ct, in the city of Columbus, state of GA, with the postal code 319092795.
What is Mark Custodio Oliver's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Custodio Oliver's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
When was the Mark Custodio Oliver's 1275649758 issued?
The Mark Custodio Oliver's 1275649758 was issued on 2006-08-21.
When was the information related to Mark Custodio Oliver most recently updated or refreshed?
The details pertaining to the Mark Custodio Oliver, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-03-20.