Jeannie Jirachat Visootsak in Decatur - Developmental - Behavioral Pediatrics
Jeannie Jirachat Visootsak - NPI 1841254109
Jeannie Jirachat Visootsak is a Developmental - Behavioral Pediatrics in Decatur, Georgia. Jeannie Jirachat Visootsak practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Jeannie Jirachat Visootsak is 1841254109. The last update date is 2007-07-08.
Jeannie Jirachat Visootsak's current location address is 2165 N Decatur Rd, Decatur, Georgia. You can contact this provider via phone number 4047788590 and fax number 4047788562. The mailing address for Jeannie Jirachat Visootsak is 2165 N Decatur Rd, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeannie Jirachat Visootsak |
|---|---|
| Address | 2165 N Decatur Rd, Decatur, Georgia |
| Phone Number | 4047788590 |
| Fax Number | 4047788562 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1841254109 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2165 N Decatur Rd |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300335307 |
| Phone Number | 4047788590 |
| Fax Number | 4047788562 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental - Behavioral Pediatrics |
|---|---|
| Taxonomy | 2080P0006X |
| Licence No | 53197 |
|
Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeannie Jirachat Visootsak by the Centers for Medicare & Medicaid Services?
The Jeannie Jirachat Visootsak has been issued the NPI (National Provider Identifier) 1841254109 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jeannie Jirachat Visootsak's facilities are geographically located?
The facilities of Jeannie Jirachat Visootsak are physically situated at the following location: 2165 N Decatur Rd, Decatur, GA, 300335307.
What is Jeannie Jirachat Visootsak's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeannie Jirachat Visootsak is Developmental - Behavioral Pediatrics, and the corresponding taxonomy classification code for this specialized field is 2080P0006X.
On what date did the Jeannie Jirachat Visootsak receive its 1841254109 assignment from the Centers for Medicare & Medicaid Services?
The Jeannie Jirachat Visootsak was assigned its 1841254109 by the Centers for Medicare & Medicaid Services on 2006-04-13.
As of what date were the Jeannie Jirachat Visootsak's details last updated?
The information pertaining to the Jeannie Jirachat Visootsak, including its address, specialty, and other details, was most recently updated on 2007-07-08.