Gastroenterology Medicine & Nutrition Clinic, Pc in - Medical Specialty

Gastroenterology Medicine & Nutrition Clinic, Pc - NPI 1366625535

Gastroenterology Medicine & Nutrition Clinic, Pc is a Medical Specialty in , . Gastroenterology Medicine & Nutrition Clinic, Pc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Gastroenterology Medicine & Nutrition Clinic, Pc is 1366625535. The last update date is 2008-07-07.

Gastroenterology Medicine & Nutrition Clinic, Pc's current location address is , , . You can contact this provider via phone number . The mailing address for Gastroenterology Medicine & Nutrition Clinic, Pc is , , . To know further, please read the information below!

Provider Profile Detail

Provider Organization Gastroenterology Medicine & Nutrition Clinic, Pc
Address , ,
Phone Number
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Layne A Edward
Credentials M.D.
Telephone Number 4046810000

NPI Number Detail

NPI Number 1366625535
Provider Enumeration Date 2007-12-11
Last Updated Date 2008-07-07

Provider Mailing Address Detail

Address
City
State ()
Post Code
Phone Number
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical Specialty
Taxonomy 261Qm2500X
Licence No 21539
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00204586B GA --

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FAQs about Gastroenterology Medicine & Nutrition Clinic, Pc

What is the unique 10-digit identifier code issued to Gastroenterology Medicine & Nutrition Clinic, Pc by the Centers for Medicare & Medicaid Services?

The Gastroenterology Medicine & Nutrition Clinic, Pc has been assigned the NPI (National Provider Identifier) 1366625535 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Gastroenterology Medicine & Nutrition Clinic, Pc's facilities are geographically located?

The facilities of Gastroenterology Medicine & Nutrition Clinic, Pc are physically situated at the following location: , , , .

What is the area of specialization for Gastroenterology Medicine & Nutrition Clinic, Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Gastroenterology Medicine & Nutrition Clinic, Pc is Medical Specialty, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm2500X.

When did the Gastroenterology Medicine & Nutrition Clinic, Pc receive its 1366625535?

The Gastroenterology Medicine & Nutrition Clinic, Pc was issued its 1366625535 on 2007-12-11, which is the date when the organization was assigned this unique identifier.

When was the Gastroenterology Medicine & Nutrition Clinic, Pc's information last updated?

The Gastroenterology Medicine & Nutrition Clinic, Pc's information was last updated on 2008-07-07.

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