Greer G Connelly in Fort Lauderdale - Physician Assistant

Greer G Connelly - NPI 1730107962

Greer G Connelly is a Physician Assistant in Fort Lauderdale, Florida. Greer G Connelly practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Greer G Connelly is 1730107962. The last update date is 2010-10-01.

Greer G Connelly's current location address is Po Box 551420, Fort Lauderdale, Florida. You can contact this provider via phone number 8002433839 and fax number 9548392569. The mailing address for Greer G Connelly is Po Box 551420, Fort Lauderdale, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Greer G Connelly
Address Po Box 551420, Fort Lauderdale, Florida
Phone Number 8002433839
Fax Number 9548392569
Sole Proprietor N
Credentials AA

NPI Number Detail

NPI Number 1730107962
Provider Enumeration Date 2006-07-17
Last Updated Date 2010-10-01

Provider Mailing Address Detail

Address Po Box 551420
City Fort Lauderdale
State Florida (FL)
Post Code 333551420
Phone Number 8002433839
Fax Number 9548392569

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 4620
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
679028104F GA --

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FAQs about Greer G Connelly

What is the unique identifier code issued to Greer G Connelly by the Centers for Medicare & Medicaid Services (CMS)?

The Greer G Connelly has been assigned the NPI (National Provider Identifier) 1730107962. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Greer G Connelly is physically located?

The Greer G Connelly is situated at the following address: Po Box 551420, Fort Lauderdale, FL 333551420.

What is Greer G Connelly's area of expertise and its corresponding taxonomy classification?

The Greer G Connelly's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1730107962 to Greer G Connelly?

The Centers for Medicare & Medicaid Services assigned the 1730107962 to Greer G Connelly on 2006-07-17.

As of what date was the information pertaining to Greer G Connelly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Greer G Connelly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-10-01.

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