Gainesville Foot And Ankle Surgery Center, Pc in Gainesville - Ambulatory Surgical
Gainesville Foot And Ankle Surgery Center, Pc - NPI 1376614826
Gainesville Foot And Ankle Surgery Center, Pc is a Ambulatory Surgical in Gainesville, Georgia. Gainesville Foot And Ankle Surgery Center, Pc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Gainesville Foot And Ankle Surgery Center, Pc is 1376614826. The last update date is 2008-07-31.
Gainesville Foot And Ankle Surgery Center, Pc's current location address is 1975 Beverly Rd, Gainesville, Georgia. You can contact this provider via phone number 7705364702 and fax number 7705369394. The mailing address for Gainesville Foot And Ankle Surgery Center, Pc is 1975 Beverly Rd, Gainesville, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Gainesville Foot And Ankle Surgery Center, Pc |
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Address | 1975 Beverly Rd, Gainesville, Georgia |
Phone Number | 7705364702 |
Fax Number | 7705369394 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DI |
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Authorized Official Name | Daniel Lewis Wesley |
Credentials | D.P.M. |
Telephone Number | 7705364702 |
NPI Number Detail
NPI Number | 1376614826 |
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Provider Enumeration Date | 2006-11-13 |
Last Updated Date | 2008-07-31 |
Provider Mailing Address Detail
Address | 1975 Beverly Rd |
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City | Gainesville |
State | Georgia (GA) |
Post Code | 305012034 |
Phone Number | 7705364702 |
Fax Number | 7705369394 |
Provider's Primary Taxonomy Detail
Speciality | Ambulatory Surgical |
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Taxonomy | 261Qa1903X |
Licence No | 069-279 |
Definition: Provides outpatient surgical services not requiring hospitalization. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
51005007-002 | GA | BLUE CROSS-BLUE SHIELD | |
069-279 | GA | STATA LICENSE |
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What is the unique identification code assigned to Gainesville Foot And Ankle Surgery Center, Pc by the Centers for Medicare & Medicaid Services?
The Gainesville Foot And Ankle Surgery Center, Pc has been issued the NPI (National Provider Identifier) 1376614826. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gainesville Foot And Ankle Surgery Center, Pc?
The Gainesville Foot And Ankle Surgery Center, Pc is physically situated at 1975 Beverly Rd, in the city of Gainesville, state of GA, with the postal code 305012034.
What is the Gainesville Foot And Ankle Surgery Center, Pc's specialty and taxonomy code?
The Gainesville Foot And Ankle Surgery Center, Pc's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.
When did the Gainesville Foot And Ankle Surgery Center, Pc receive its 1376614826?
The Gainesville Foot And Ankle Surgery Center, Pc was issued its 1376614826 on 2006-11-13, which is the date when the organization was assigned this unique identifier.
When was the information regarding Gainesville Foot And Ankle Surgery Center, Pc most recently updated?
The details pertaining to the Gainesville Foot And Ankle Surgery Center, Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-07-31.