Gregory G. Southers in Princeton - Physician Assistant
Gregory G. Southers - NPI 1528181930
Gregory G. Southers is a Physician Assistant in Princeton, . Gregory G. Southers practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gregory G. Southers is 1528181930. The last update date is 2007-07-08.
Gregory G. Southers's current location address is 311 Courthouse Road, Princeton, . You can contact this provider via phone number 3044872297 and fax number 3044874802. The mailing address for Gregory G. Southers is 311 Courthouse Road, Princeton, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory G. Southers |
|---|---|
| Address | 311 Courthouse Road, Princeton, |
| Phone Number | 3044872297 |
| Fax Number | 3044874802 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1528181930 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 311 Courthouse Road |
|---|---|
| City | Princeton |
| State | (WV) |
| Post Code | 24740 |
| Phone Number | 3044872297 |
| Fax Number | 3044874802 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 950 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Gregory G. Southers by the Centers for Medicare & Medicaid Services?
The Gregory G. Southers has been issued the NPI (National Provider Identifier) 1528181930, which 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 Gregory G. Southers?
The Gregory G. Southers is physically situated at 311 Courthouse Road, in the city of Princeton, state of WV, with the postal code 24740.
What is Gregory G. Southers's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregory G. Southers's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528181930 to Gregory G. Southers?
The Centers for Medicare & Medicaid Services originally issued the 1528181930 to Gregory G. Southers on 2007-04-09.
As of what date were the details pertaining to Gregory G. Southers last refreshed?
The information related to the Gregory G. Southers, including its address, specialty, and other relevant details, was last updated on 2007-07-08.