Allen Terence Raphael in Smyrna - Podiatrist
Allen Terence Raphael - NPI 1770539801
Allen Terence Raphael is a Podiatrist in Smyrna, Georgia. Allen Terence Raphael practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Allen Terence Raphael is 1770539801. The last update date is 2018-10-15.
Allen Terence Raphael's current location address is 3200 Highlands Parkway, Smyrna, Georgia. You can contact this provider via phone number 7703195502 and fax number 7704349010. The mailing address for Allen Terence Raphael is 3200 Highlands Parkway, Smyrna, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Allen Terence Raphael |
|---|---|
| Address | 3200 Highlands Parkway, Smyrna, Georgia |
| Phone Number | 7703195502 |
| Fax Number | 7704349010 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1770539801 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2018-10-15 |
Provider Mailing Address Detail
| Address | 3200 Highlands Parkway |
|---|---|
| City | Smyrna |
| State | Georgia (GA) |
| Post Code | 300825196 |
| Phone Number | 7703195502 |
| Fax Number | 7704349010 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | POD001050 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 52212173-001 | GA | BC/BS, SMYRNA | |
| 761921467P | GA | -- | |
| 761921467G | GA | -- | |
| 52212173-002 | GA | BC/BS DOUGLASVILLE | |
| 761921467A | GA | -- | |
| 946888 | GA | BLUE CROSS BLUE SHIELD GA | |
| 5284933 | GA | CIGNA | |
| 761921467J | GA | -- | |
| 581994261 | GA | GREAT WEST HEALTHCARE | |
| 761921467C | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Allen Terence Raphael?
The Allen Terence Raphael has been issued the NPI (National Provider Identifier) 1770539801 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Allen Terence Raphael is physically located?
The Allen Terence Raphael is physically situated at the following address: 3200 Highlands Parkway, Smyrna, GA, 300825196.
What is the Allen Terence Raphael's specialty and taxonomy code?
The Allen Terence Raphael's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
On what date did the Allen Terence Raphael receive the assignment of its 1770539801 from the Centers for Medicare & Medicaid Services?
The Allen Terence Raphael was issued its 1770539801 by the Centers for Medicare & Medicaid Services on 2006-05-26.
When was the information related to Allen Terence Raphael most recently updated or refreshed?
The details pertaining to the Allen Terence Raphael, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-10-15.
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