Andrew Phillip Stack in Savannah - Pediatric Critical Care Medicine
Andrew Phillip Stack - NPI 1902063407
Andrew Phillip Stack is a Pediatric Critical Care Medicine in Savannah, Georgia. Andrew Phillip Stack practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Andrew Phillip Stack is 1902063407. The last update date is 2022-01-19.
Andrew Phillip Stack's current location address is 4700 Waters Ave, Savannah, Georgia. You can contact this provider via phone number 9123508180 and fax number 9123505697. The mailing address for Andrew Phillip Stack is 4700 Waters Ave, Savannah, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Andrew Phillip Stack |
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Address | 4700 Waters Ave, Savannah, Georgia |
Phone Number | 9123508180 |
Fax Number | 9123505697 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1902063407 |
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Provider Enumeration Date | 2008-05-21 |
Last Updated Date | 2022-01-19 |
Provider Mailing Address Detail
Address | 4700 Waters Ave |
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City | Savannah |
State | Georgia (GA) |
Post Code | 314046220 |
Phone Number | 9123508180 |
Fax Number | 9123505697 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Critical Care Medicine |
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Taxonomy | 2080P0203X |
Licence No | 71886 |
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
003146322A | GA | -- | |
P01335436 | GA | RAILROAD MEDICARE |
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What is the unique 10-digit identification code issued to Andrew Phillip Stack by the Centers for Medicare & Medicaid Services?
The Andrew Phillip Stack has been assigned the NPI (National Provider Identifier) 1902063407 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Andrew Phillip Stack located?
The Andrew Phillip Stack is located at 4700 Waters Ave, Savannah, GA 314046220.
What is Andrew Phillip Stack's area of expertise and its corresponding taxonomy classification?
The Andrew Phillip Stack's field of specialization is Pediatric Critical Care Medicine, and it falls under the taxonomy code 2080P0203X, which categorizes healthcare providers based on their areas of practice.
On what date did Andrew Phillip Stack receive its 1902063407 assignment from the Centers for Medicare & Medicaid Services?
The Andrew Phillip Stack was assigned its 1902063407 on 2008-05-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Andrew Phillip Stack most recently updated or revised?
The details related to Andrew Phillip Stack, including its address, specialty, and other relevant information, were last updated or revised on 2022-01-19.