Warren Stuart Theis in Waycross - General Practice
Warren Stuart Theis - NPI 1588658702
Warren Stuart Theis is a General Practice in Waycross, Georgia. Warren Stuart Theis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Warren Stuart Theis is 1588658702. The last update date is 2009-06-03.
Warren Stuart Theis's current location address is 1405 Alice St, Waycross, Georgia. You can contact this provider via phone number 9122858822 and fax number 9122858898. The mailing address for Warren Stuart Theis is 1405 Alice St, Waycross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Warren Stuart Theis |
|---|---|
| Address | 1405 Alice St, Waycross, Georgia |
| Phone Number | 9122858822 |
| Fax Number | 9122858898 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1588658702 |
|---|---|
| Provider Enumeration Date | 2005-09-02 |
| Last Updated Date | 2009-06-03 |
Provider Mailing Address Detail
| Address | 1405 Alice St |
|---|---|
| City | Waycross |
| State | Georgia (GA) |
| Post Code | 315014528 |
| Phone Number | 9122858822 |
| Fax Number | 9122858898 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 55345 |
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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 |
|---|---|---|---|
| 67269005A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Warren Stuart Theis by the Centers for Medicare & Medicaid Services?
The Warren Stuart Theis has been assigned the NPI (National Provider Identifier) 1588658702 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Warren Stuart Theis?
The Warren Stuart Theis is physically situated at 1405 Alice St, in the city of Waycross, state of GA, with the postal code 315014528.
What is the Warren Stuart Theis's specialty and taxonomy code?
The Warren Stuart Theis's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
When did Warren Stuart Theis receive its 1588658702 assignment?
The Warren Stuart Theis was assigned its 1588658702 on 2005-09-02, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Warren Stuart Theis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Warren Stuart Theis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-06-03.