Feoderis N Basilio in Columbus - Adolescent Medicine

Feoderis N Basilio - NPI 1023143393

Feoderis N Basilio is a Adolescent Medicine in Columbus, Georgia. Feoderis N Basilio practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Feoderis N Basilio is 1023143393. The last update date is 2011-06-30.

Feoderis N Basilio's current location address is 104 14th St, Columbus, Georgia. You can contact this provider via phone number 7065075437 and fax number 7065075499. The mailing address for Feoderis N Basilio is 104 14th St, Columbus, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Feoderis N Basilio
Address 104 14th St, Columbus, Georgia
Phone Number 7065075437
Fax Number 7065075499
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1023143393
Provider Enumeration Date 2007-02-23
Last Updated Date 2011-06-30

Provider Mailing Address Detail

Address 104 14th St
City Columbus
State Georgia (GA)
Post Code 319012131
Phone Number 7065075437
Fax Number 7065075499

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 50092
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
000958702A GA PEACH STATE HEALTH PLAN
000958702A GA --
52009279 GA BCBS GA
306085 GA WELLCARE
60103339 AL BCBS AL

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FAQs about Feoderis N Basilio

What is the unique 10-digit identifier code issued to Feoderis N Basilio by the Centers for Medicare & Medicaid Services?

The Feoderis N Basilio has been assigned the NPI (National Provider Identifier) 1023143393 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Feoderis N Basilio?

The Feoderis N Basilio is physically situated at 104 14Th St, in the city of Columbus, state of GA, with the postal code 319012131.

What is Feoderis N Basilio's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Feoderis N Basilio is Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 2080A0000X.

On what date did the Feoderis N Basilio receive the assignment of its 1023143393 from the Centers for Medicare & Medicaid Services?

The Feoderis N Basilio was issued its 1023143393 by the Centers for Medicare & Medicaid Services on 2007-02-23.

When was the information regarding Feoderis N Basilio, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Feoderis N Basilio, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-06-30.

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