Mcg Diversified, Llc in Rocky Mount - Preferred Provider Organization
Mcg Diversified, Llc - NPI 1700065224
Mcg Diversified, Llc is a Preferred Provider Organization in Rocky Mount, North Carolina. Mcg Diversified, Llc practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Mcg Diversified, Llc is 1700065224. The last update date is 2007-10-31.
Mcg Diversified, Llc's current location address is 809 Mill Branch Rd, Rocky Mount, North Carolina. You can contact this provider via phone number 2524466243 and fax number 2524466244. The mailing address for Mcg Diversified, Llc is 809 Mill Branch Rd, Rocky Mount, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mcg Diversified, Llc |
|---|---|
| Address | 809 Mill Branch Rd, Rocky Mount, North Carolina |
| Phone Number | 2524466243 |
| Fax Number | 2524466244 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mcguire E Bobby |
| Telephone Number | 2528839329 |
NPI Number Detail
| NPI Number | 1700065224 |
|---|---|
| Provider Enumeration Date | 2007-10-31 |
| Last Updated Date | 2007-10-31 |
Provider Mailing Address Detail
| Address | 809 Mill Branch Rd |
|---|---|
| City | Rocky Mount |
| State | North Carolina (NC) |
| Post Code | 278038512 |
| Phone Number | 2524466243 |
| Fax Number | 2524466244 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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What is the unique provider identifier assigned to Mcg Diversified, Llc?
The Mcg Diversified, Llc has been issued the NPI (National Provider Identifier) 1700065224 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mcg Diversified, Llc's facilities are geographically located?
The facilities of Mcg Diversified, Llc are physically situated at the following location: 809 Mill Branch Rd, Rocky Mount, NC, 278038512.
What is Mcg Diversified, 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 Mcg Diversified, Llc is Preferred Provider Organization, and the taxonomy classification code that categorizes this area of expertise is 305R00000X.
On what date did the Mcg Diversified, Llc receive its 1700065224 assignment from the Centers for Medicare & Medicaid Services?
The Mcg Diversified, Llc was assigned its 1700065224 by the Centers for Medicare & Medicaid Services on 2007-10-31.
When was the information regarding Mcg Diversified, Llc most recently updated?
The details pertaining to the Mcg Diversified, Llc, including its address, specialty, and other relevant information, were last refreshed on 2007-10-31.
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