Edwin Haywood Shuck in Lookout Mountain - Colon & Rectal Surgery

Edwin Haywood Shuck - NPI 1912957739

Edwin Haywood Shuck is a Colon & Rectal Surgery in Lookout Mountain, Georgia. Edwin Haywood Shuck practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Edwin Haywood Shuck is 1912957739. The last update date is 2010-02-03.

Edwin Haywood Shuck's current location address is 274 Frontier Bluff Rd, Lookout Mountain, Georgia. You can contact this provider via phone number 7068200519 and fax number 7068208228. The mailing address for Edwin Haywood Shuck is 274 Frontier Bluff Rd, Lookout Mountain, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Edwin Haywood Shuck
Address 274 Frontier Bluff Rd, Lookout Mountain, Georgia
Phone Number 7068200519
Fax Number 7068208228
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1912957739
Provider Enumeration Date 2006-05-11
Last Updated Date 2010-02-03

Provider Mailing Address Detail

Address 274 Frontier Bluff Rd
City Lookout Mountain
State Georgia (GA)
Post Code 307504160
Phone Number 7068200519
Fax Number 7068208228

Provider's Primary Taxonomy Detail

Speciality Colon & Rectal Surgery
Taxonomy 208C00000X
Licence No 11816
Definition:
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20051840 TN RAILROAD MEDICARE
53980 TN BLUECROSS

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FAQs about Edwin Haywood Shuck

What is the unique identifier code issued to Edwin Haywood Shuck by the Centers for Medicare & Medicaid Services?

The Edwin Haywood Shuck has been assigned the NPI (National Provider Identifier) 1912957739. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Edwin Haywood Shuck?

The Edwin Haywood Shuck is situated at 274 Frontier Bluff Rd, in the city of Lookout Mountain, state of GA, with the zip code 307504160.

What is the Edwin Haywood Shuck's area of specialization and corresponding taxonomy classification?

The Edwin Haywood Shuck's specialty field is Colon & Rectal Surgery, and it falls under the taxonomy code 208C00000X, which categorizes healthcare providers based on their specialties.

On what date did Edwin Haywood Shuck receive its 1912957739 assignment from the Centers for Medicare & Medicaid Services?

The Edwin Haywood Shuck was assigned its 1912957739 on 2006-05-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Edwin Haywood Shuck, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Edwin Haywood Shuck, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-02-03.

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