Michael R Wisdom in Macon - Physical Therapist
Michael R Wisdom - NPI 1578579686
Michael R Wisdom is a Physical Therapist in Macon, Georgia. Michael R Wisdom practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Michael R Wisdom is 1578579686. The last update date is 2008-04-20.
Michael R Wisdom's current location address is 630 Orange St, Macon, Georgia. You can contact this provider via phone number 4787465469 and fax number 4787507841. The mailing address for Michael R Wisdom is 630 Orange St, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael R Wisdom |
|---|---|
| Address | 630 Orange St, Macon, Georgia |
| Phone Number | 4787465469 |
| Fax Number | 4787507841 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1578579686 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 630 Orange St |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 31201 |
| Phone Number | 4787465469 |
| Fax Number | 4787507841 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT000867 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 354809 | GA | WELLCARE | |
| 58172018531201A | GA | TRICARE | |
| 980154 | GA | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Michael R Wisdom by the Centers for Medicare & Medicaid Services?
The Michael R Wisdom has been assigned the NPI (National Provider Identifier) 1578579686 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Michael R Wisdom is located?
The Michael R Wisdom is situated at the following address: 630 Orange St, Macon, GA, 31201.
What is Michael R Wisdom's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael R Wisdom is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578579686 to Michael R Wisdom?
The Michael R Wisdom received its 1578579686 assignment from the Centers for Medicare & Medicaid Services on 2006-07-31.
As of what date was the information pertaining to Michael R Wisdom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael R Wisdom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-20.