Mary Jane B Kassam in Conyers - General Practice
Mary Jane B Kassam - NPI 1306844675
Mary Jane B Kassam is a General Practice in Conyers, Georgia. Mary Jane B Kassam practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mary Jane B Kassam is 1306844675. The last update date is 2007-07-08.
Mary Jane B Kassam's current location address is 2020 Honey Creek Pkwy Se, Conyers, Georgia. You can contact this provider via phone number 7709290813 and fax number 7709228653. The mailing address for Mary Jane B Kassam is 2020 Honey Creek Pkwy Se, Conyers, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jane B Kassam |
|---|---|
| Address | 2020 Honey Creek Pkwy Se, Conyers, Georgia |
| Phone Number | 7709290813 |
| Fax Number | 7709228653 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306844675 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2020 Honey Creek Pkwy Se |
|---|---|
| City | Conyers |
| State | Georgia (GA) |
| Post Code | 300132974 |
| Phone Number | 7709290813 |
| Fax Number | 7709228653 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 33610 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00447323A | GA | -- |
Post Comment/ Review Below
What is the Mary Jane B Kassam's unique identification number?
The Mary Jane B Kassam has been assigned the NPI (National Provider Identifier) Number 1306844675 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Mary Jane B Kassam is physically located?
The Mary Jane B Kassam is physically situated at the following address: 2020 Honey Creek Pkwy Se, Conyers, GA, 300132974.
What is the area of specialization for Mary Jane B Kassam, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Jane B Kassam is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.
On what date did the Mary Jane B Kassam receive its 1306844675 assignment from the Centers for Medicare & Medicaid Services?
The Mary Jane B Kassam was assigned its 1306844675 by the Centers for Medicare & Medicaid Services on 2005-07-12.
When was the information regarding Mary Jane B Kassam most recently updated?
The details pertaining to the Mary Jane B Kassam, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.