Mary L Ottinger in Augusta - Radiology

Mary L Ottinger - NPI 1821149782

Mary L Ottinger is a Radiology in Augusta, Georgia. Mary L Ottinger practices all healthcare services and medical treatments related to Radiology. The NPI Number for Mary L Ottinger is 1821149782. The last update date is 2008-06-25.

Mary L Ottinger's current location address is 1515 Laney Walker Blvd, Augusta, Georgia. You can contact this provider via phone number 7067240586 and fax number 7067244468. The mailing address for Mary L Ottinger is 1515 Laney Walker Blvd, Augusta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary L Ottinger
Address 1515 Laney Walker Blvd, Augusta, Georgia
Phone Number 7067240586
Fax Number 7067244468
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1821149782
Provider Enumeration Date 2007-01-16
Last Updated Date 2008-06-25

Provider Mailing Address Detail

Address 1515 Laney Walker Blvd
City Augusta
State Georgia (GA)
Post Code 309045827
Phone Number 7067240586
Fax Number 7067244468

Provider's Primary Taxonomy Detail

Speciality Radiology
Taxonomy 213Er0200X
Licence No GA520
Definition:
A doctor of podiatric medicine who specializes in medical imaging of the lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GPO520 SC --
GA520 GA STATE LICENSE NUMBER
000314278C GA --

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FAQs about Mary L Ottinger

What is the Mary L Ottinger's unique identification number?

The Mary L Ottinger has been assigned the NPI (National Provider Identifier) Number 1821149782 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 L Ottinger is physically located?

The Mary L Ottinger is physically situated at the following address: 1515 Laney Walker Blvd, Augusta, GA, 309045827.

What is Mary L Ottinger's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mary L Ottinger is Radiology, and the taxonomy code that categorizes this field of expertise is 213Er0200X.

On what date did the Mary L Ottinger receive the assignment of its 1821149782 from the Centers for Medicare & Medicaid Services?

The Mary L Ottinger was issued its 1821149782 by the Centers for Medicare & Medicaid Services on 2007-01-16.

As of what date were the details related to Mary L Ottinger most recently updated or revised?

The information pertaining to Mary L Ottinger, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-25.

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