Honorio R Bulos in Dawsonville - Adolescent Medicine

Honorio R Bulos - NPI 1497712939

Honorio R Bulos is a Adolescent Medicine in Dawsonville, Georgia. Honorio R Bulos practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Honorio R Bulos is 1497712939. The last update date is 2013-05-08.

Honorio R Bulos's current location address is 300 Dawson Commons Cir, Dawsonville, Georgia. You can contact this provider via phone number 7062162770 and fax number 7062162944. The mailing address for Honorio R Bulos is 300 Dawson Commons Cir, Dawsonville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Honorio R Bulos
Address 300 Dawson Commons Cir, Dawsonville, Georgia
Phone Number 7062162770
Fax Number 7062162944
Sole Proprietor Y
Credentials M.D.,F.A.A

NPI Number Detail

NPI Number 1497712939
Provider Enumeration Date 2006-04-27
Last Updated Date 2013-05-08

Provider Mailing Address Detail

Address 300 Dawson Commons Cir
City Dawsonville
State Georgia (GA)
Post Code 305346268
Phone Number 7062162770
Fax Number 7062162944

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 48029
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000862584B GA --
341290 GA WELLCARE TLC
52837775 GA BCBS OF GA
000862584B GA PEACHSTATE
000862584C GA --
10032539 GA AMERIGROUP
328286 GA WELLCARE
10049707 GA AMERIGROUP TLC

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FAQs about Honorio R Bulos

What is the unique 10-digit identification code issued to Honorio R Bulos by the Centers for Medicare & Medicaid Services?

The Honorio R Bulos has been assigned the NPI (National Provider Identifier) 1497712939 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Honorio R Bulos?

The Honorio R Bulos is physically situated at 300 Dawson Commons Cir, in the city of Dawsonville, state of GA, with the postal code 305346268.

What is the Honorio R Bulos's area of specialization and corresponding taxonomy classification?

The Honorio R Bulos's specialty field is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1497712939 to Honorio R Bulos?

The Honorio R Bulos received its 1497712939 assignment from the Centers for Medicare & Medicaid Services on 2006-04-27.

When was the information regarding Honorio R Bulos most recently updated?

The details pertaining to the Honorio R Bulos, including its address, specialty, and other relevant information, were last refreshed on 2013-05-08.

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