Martin C Mirra is a Surgery in Atlanta, Georgia. Martin C Mirra practices all healthcare services and medical treatments related to Surgery. The NPI Number for Martin C Mirra is 1972615631. The last update date is 2018-05-18.
Martin C Mirra's current location address is Po Box 743904, Atlanta, Georgia. You can contact this provider via phone number 8032967320 and fax number 8032967330. The mailing address for Martin C Mirra is Po Box 743904, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin C Mirra |
|---|---|
| Address | Po Box 743904, Atlanta, Georgia |
| Phone Number | 8032967320 |
| Fax Number | 8032967330 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1972615631 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2018-05-18 |
Provider Mailing Address Detail
| Address | Po Box 743904 |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303743904 |
| Phone Number | 8032967320 |
| Fax Number | 8032967330 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 19670 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 196709 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Martin C Mirra by the Centers for Medicare & Medicaid Services (CMS)?
The Martin C Mirra has been assigned the NPI (National Provider Identifier) 1972615631. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Martin C Mirra is physically located?
The Martin C Mirra is physically situated at the following address: Po Box 743904, Atlanta, GA, 303743904.
What is Martin C Mirra's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Martin C Mirra's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
When was the Martin C Mirra's 1972615631 issued?
The Martin C Mirra's 1972615631 was issued on 2006-08-31.
As of what date were the details related to Martin C Mirra most recently updated or revised?
The information pertaining to Martin C Mirra, including its address, specialty, and other relevant details, was last updated or revised on 2018-05-18.