Walter J Revell is a Surgery in Vidalia, Georgia. Walter J Revell practices all healthcare services and medical treatments related to Surgery. The NPI Number for Walter J Revell is 1275641995. The last update date is 2018-05-01.
Walter J Revell's current location address is 305 W 1st St, Vidalia, Georgia. You can contact this provider via phone number 9125389080 and fax number 9125389085. The mailing address for Walter J Revell is 305 W 1st St, Vidalia, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter J Revell |
|---|---|
| Address | 305 W 1st St, Vidalia, Georgia |
| Phone Number | 9125389080 |
| Fax Number | 9125389085 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1275641995 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2018-05-01 |
Provider Mailing Address Detail
| Address | 305 W 1st St |
|---|---|
| City | Vidalia |
| State | Georgia (GA) |
| Post Code | 304743302 |
| Phone Number | 9125389080 |
| Fax Number | 9125389085 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 11191 |
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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 |
|---|---|---|---|
| 111916 | SC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Walter J Revell by the Centers for Medicare & Medicaid Services?
The Walter J Revell has been issued the NPI (National Provider Identifier) 1275641995. 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 Walter J Revell's facilities are situated?
The facilities of Walter J Revell are physically located at the following address: 305 W 1St St, Vidalia, GA, 304743302.
What is Walter J Revell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Walter J Revell is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date did Walter J Revell receive its 1275641995 assignment from the Centers for Medicare & Medicaid Services?
The Walter J Revell was assigned its 1275641995 on 2006-08-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Walter J Revell most recently updated or revised?
The information pertaining to Walter J Revell, including its address, specialty, and other relevant details, was last updated or revised on 2018-05-01.
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