Medfast 2 is a Legal Medicine in Waycross, Georgia. Medfast 2 practices all healthcare services and medical treatments related to Legal Medicine. The NPI Number for Medfast 2 is 1003857517. The last update date is 2020-08-22.
Medfast 2's current location address is 1405 Alice St, Waycross, Georgia. You can contact this provider via phone number 9122853157 and fax number 9122832051. The mailing address for Medfast 2 is 1405 Alice St, Waycross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medfast 2 |
|---|---|
| Address | 1405 Alice St, Waycross, Georgia |
| Phone Number | 9122853157 |
| Fax Number | 9122832051 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Klug A Gerardo |
| Credentials | M.D. |
| Telephone Number | 9122853157 |
NPI Number Detail
| NPI Number | 1003857517 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1405 Alice St |
|---|---|
| City | Waycross |
| State | Georgia (GA) |
| Post Code | 315014528 |
| Phone Number | 9122853157 |
| Fax Number | 9122832051 |
Provider's Primary Taxonomy Detail
| Speciality | Legal Medicine |
|---|---|
| Taxonomy | 209800000X |
| Licence No | 31778 |
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Definition: Legal Medicine is a special field of medicine that focuses on various aspects of medicine and law. Historically, the practice of legal medicine made contributions to medicine as a scientific instrument to solve criminal perplexities. Since World War |
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What is the unique identifier code issued to Medfast 2 by the Centers for Medicare & Medicaid Services?
The Medfast 2 has been assigned the NPI (National Provider Identifier) 1003857517. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Medfast 2's physical address?
The Medfast 2 is physically located at 1405 Alice St, in the city of Waycross, GA, with the postal code 315014528.
What is Medfast 2's specialized field of practice, and what is the corresponding taxonomy classification code?
The Medfast 2's area of specialization is Legal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 209800000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003857517 to Medfast 2?
The Centers for Medicare & Medicaid Services originally issued the 1003857517 to Medfast 2 on 2006-06-08.
When was the information regarding Medfast 2 most recently updated?
The details pertaining to the Medfast 2, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY