Glynn Adam Granger in Opelousas - Surgery
Glynn Adam Granger - NPI 1629069034
Glynn Adam Granger is a Surgery in Opelousas, Louisiana. Glynn Adam Granger practices all healthcare services and medical treatments related to Surgery. The NPI Number for Glynn Adam Granger is 1629069034. The last update date is 2007-11-02.
Glynn Adam Granger's current location address is 3975 I 49 S Service Rd, Opelousas, Louisiana. You can contact this provider via phone number 3379487680 and fax number 3379481143. The mailing address for Glynn Adam Granger is 3975 I 49 S Service Rd, Opelousas, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glynn Adam Granger |
|---|---|
| Address | 3975 I 49 S Service Rd, Opelousas, Louisiana |
| Phone Number | 3379487680 |
| Fax Number | 3379481143 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629069034 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2007-11-02 |
Provider Mailing Address Detail
| Address | 3975 I 49 S Service Rd |
|---|---|
| City | Opelousas |
| State | Louisiana (LA) |
| Post Code | 705700775 |
| Phone Number | 3379487680 |
| Fax Number | 3379481143 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 11393 |
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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 |
|---|---|---|---|
| 1134643 | LA | -- |
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What is the Glynn Adam Granger's unique identification number?
The Glynn Adam Granger has been assigned the NPI (National Provider Identifier) Number 1629069034 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Glynn Adam Granger's physical address?
The Glynn Adam Granger is physically located at 3975 I 49 S Service Rd, in the city of Opelousas, LA, with the postal code 705700775.
What is Glynn Adam Granger's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Glynn Adam Granger is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
When did the Glynn Adam Granger receive its 1629069034?
The Glynn Adam Granger was issued its 1629069034 on 2005-11-03, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Glynn Adam Granger, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Glynn Adam Granger, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-02.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY