Amy Tisdale is a Orthopedic in Evans, Georgia. Amy Tisdale practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Amy Tisdale is 1508089749. The last update date is 2007-07-08.
Amy Tisdale's current location address is 536 Grand Slam Dr, Evans, Georgia. You can contact this provider via phone number 7068548434 and fax number 7068548435. The mailing address for Amy Tisdale is 536 Grand Slam Dr, Evans, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Amy Tisdale |
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Address | 536 Grand Slam Dr, Evans, Georgia |
Phone Number | 7068548434 |
Fax Number | 7068548435 |
Sole Proprietor | N |
Credentials | PT |
NPI Number Detail
NPI Number | 1508089749 |
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Provider Enumeration Date | 2007-04-10 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 536 Grand Slam Dr |
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City | Evans |
State | Georgia (GA) |
Post Code | 308098014 |
Phone Number | 7068548434 |
Fax Number | 7068548435 |
Provider's Primary Taxonomy Detail
Speciality | Orthopedic |
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Taxonomy | 2251X0800X |
Licence No | 6776 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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6776 | GA | PT LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Amy Tisdale by the Centers for Medicare & Medicaid Services (CMS)?
The Amy Tisdale has been assigned the NPI (National Provider Identifier) 1508089749. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Amy Tisdale's physical address?
The Amy Tisdale is physically located at 536 Grand Slam Dr, in the city of Evans, GA, with the postal code 308098014.
What is Amy Tisdale's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Amy Tisdale is Orthopedic, and the taxonomy code that classifies this field of practice is 2251X0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1508089749 to Amy Tisdale?
The Centers for Medicare & Medicaid Services assigned the 1508089749 to Amy Tisdale on 2007-04-10.
As of what date were the Amy Tisdale's details last updated?
The information pertaining to the Amy Tisdale, including its address, specialty, and other details, was most recently updated on 2007-07-08.