Camp Creek Pediatrics Llc in Fayetteville - Medical Specialty
Camp Creek Pediatrics Llc - NPI 1922269612
Camp Creek Pediatrics Llc is a Medical Specialty in Fayetteville, Georgia. Camp Creek Pediatrics Llc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Camp Creek Pediatrics Llc is 1922269612. The last update date is 2008-06-24.
Camp Creek Pediatrics Llc's current location address is 1415 Highway 85 N, Fayetteville, Georgia. You can contact this provider via phone number 4043492273. The mailing address for Camp Creek Pediatrics Llc is 1415 Highway 85 N, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Camp Creek Pediatrics Llc |
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Address | 1415 Highway 85 N, Fayetteville, Georgia |
Phone Number | 4043492273 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHYSICIAN |
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Authorized Official Name | Johnson-Brown Charlene |
Telephone Number | 4043492273 |
NPI Number Detail
NPI Number | 1922269612 |
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Provider Enumeration Date | 2008-06-24 |
Last Updated Date | 2008-06-24 |
Provider Mailing Address Detail
Address | 1415 Highway 85 N |
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City | Fayetteville |
State | Georgia (GA) |
Post Code | 302144035 |
Phone Number | 4043492273 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Medical Specialty |
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Taxonomy | 261Qm2500X |
Licence No | 49655 |
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the unique identifier code issued to Camp Creek Pediatrics Llc by the Centers for Medicare & Medicaid Services?
The Camp Creek Pediatrics Llc has been assigned the NPI (National Provider Identifier) 1922269612. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Camp Creek Pediatrics Llc is geographically located?
The Camp Creek Pediatrics Llc is physically situated at the following location: 1415 Highway 85 N, Fayetteville, GA, 302144035.
What is Camp Creek Pediatrics Llc'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 Camp Creek Pediatrics Llc is Medical Specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm2500X.
When did Camp Creek Pediatrics Llc receive its 1922269612 assignment?
The Camp Creek Pediatrics Llc was assigned its 1922269612 on 2008-06-24, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Camp Creek Pediatrics Llc most recently updated or revised?
The information pertaining to Camp Creek Pediatrics Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-24.