Penelope Edwards-Conrad in Valdosta - Neurology
Penelope Edwards-Conrad - NPI 1720074602
Penelope Edwards-Conrad is a Neurology in Valdosta, Georgia. Penelope Edwards-Conrad practices all healthcare services and medical treatments related to Neurology. The NPI Number for Penelope Edwards-Conrad is 1720074602. The last update date is 2010-04-10.
Penelope Edwards-Conrad's current location address is 2935 N Ashley St, Valdosta, Georgia. You can contact this provider via phone number 2292441192 and fax number 2292441195. The mailing address for Penelope Edwards-Conrad is 2935 N Ashley St, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penelope Edwards-Conrad |
|---|---|
| Address | 2935 N Ashley St, Valdosta, Georgia |
| Phone Number | 2292441192 |
| Fax Number | 2292441195 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720074602 |
|---|---|
| Provider Enumeration Date | 2005-09-26 |
| Last Updated Date | 2010-04-10 |
Provider Mailing Address Detail
| Address | 2935 N Ashley St |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 316021777 |
| Phone Number | 2292441192 |
| Fax Number | 2292441195 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | GA45205 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00813062B | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Penelope Edwards-Conrad by the Centers for Medicare & Medicaid Services?
The Penelope Edwards-Conrad has been issued the NPI (National Provider Identifier) 1720074602. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Penelope Edwards-Conrad's facilities are situated?
The facilities of Penelope Edwards-Conrad are physically located at the following address: 2935 N Ashley St, Valdosta, GA, 316021777.
What is Penelope Edwards-Conrad's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Penelope Edwards-Conrad is Neurology, and the taxonomy code that classifies this field of practice is 2084N0400X.
When did Penelope Edwards-Conrad receive its 1720074602 assignment?
The Penelope Edwards-Conrad was assigned its 1720074602 on 2005-09-26, which is the date when this unique identifier was issued to the organization.
When was the Penelope Edwards-Conrad's information last updated?
The Penelope Edwards-Conrad's information was last updated on 2010-04-10.
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