Revolution Incorporated in Fayetteville - Speech-language Pathologist
Revolution Incorporated - NPI 1972798007
Revolution Incorporated is a Speech-language Pathologist in Fayetteville, North Carolina. Revolution Incorporated practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Revolution Incorporated is 1972798007. The last update date is 2023-01-23.
Revolution Incorporated's current location address is 5310 Yadkin Rd, Fayetteville, North Carolina. You can contact this provider via phone number 9109886974 and fax number 9104254956. The mailing address for Revolution Incorporated is 5310 Yadkin Rd, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Revolution Incorporated |
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Address | 5310 Yadkin Rd, Fayetteville, North Carolina |
Phone Number | 9109886974 |
Fax Number | 9104254956 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR O |
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Authorized Official Name | Thurman Tremayne |
Telephone Number | 9104019210 |
NPI Number Detail
NPI Number | 1972798007 |
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Provider Enumeration Date | 2007-09-11 |
Last Updated Date | 2023-01-23 |
Provider Mailing Address Detail
Address | 5310 Yadkin Rd |
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City | Fayetteville |
State | North Carolina (NC) |
Post Code | 283033255 |
Phone Number | 9109886974 |
Fax Number | 9104254956 |
Provider's Primary Taxonomy Detail
Speciality | Speech-language Pathologist |
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Taxonomy | 235Z00000X |
Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique provider identifier assigned to Revolution Incorporated?
The Revolution Incorporated has been issued the NPI (National Provider Identifier) 1972798007 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Revolution Incorporated?
The Revolution Incorporated is situated at 5310 Yadkin Rd, in the city of Fayetteville, state of NC, with the zip code 283033255.
What is Revolution Incorporated'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 Revolution Incorporated is Speech-language Pathologist, and the taxonomy classification code that categorizes this area of expertise is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972798007 to Revolution Incorporated?
The Centers for Medicare & Medicaid Services originally issued the 1972798007 to Revolution Incorporated on 2007-09-11.
As of what date were the details related to Revolution Incorporated most recently updated or revised?
The information pertaining to Revolution Incorporated, including its address, specialty, and other relevant details, was last updated or revised on 2023-01-23.