Keathern Scott Malone in Warner Robins - Sports Medicine
Keathern Scott Malone - NPI 1154374312
Keathern Scott Malone is a Sports Medicine in Warner Robins, Georgia. Keathern Scott Malone practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Keathern Scott Malone is 1154374312. The last update date is 2012-08-13.
Keathern Scott Malone's current location address is 3051 Watson Blvd, Warner Robins, Georgia. You can contact this provider via phone number 4789712227 and fax number 4789534677. The mailing address for Keathern Scott Malone is 3051 Watson Blvd, Warner Robins, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keathern Scott Malone |
|---|---|
| Address | 3051 Watson Blvd, Warner Robins, Georgia |
| Phone Number | 4789712227 |
| Fax Number | 4789534677 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154374312 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2012-08-13 |
Provider Mailing Address Detail
| Address | 3051 Watson Blvd |
|---|---|
| City | Warner Robins |
| State | Georgia (GA) |
| Post Code | 310938536 |
| Phone Number | 4789712227 |
| Fax Number | 4789534677 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2081S0010X |
| Licence No | 44534 |
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Definition: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000775607E | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Keathern Scott Malone?
The Keathern Scott Malone has been issued the NPI (National Provider Identifier) 1154374312 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Keathern Scott Malone?
The Keathern Scott Malone is situated at 3051 Watson Blvd, in the city of Warner Robins, state of GA, with the zip code 310938536.
What is Keathern Scott Malone's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Keathern Scott Malone's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2081S0010X.
When did Keathern Scott Malone receive its 1154374312 assignment?
The Keathern Scott Malone was assigned its 1154374312 on 2006-05-18, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Keathern Scott Malone most recently updated or revised?
The information pertaining to Keathern Scott Malone, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-13.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY