James V Waldron in Austell - Physician Assistant
James V Waldron - NPI 1215054853
James V Waldron is a Physician Assistant in Austell, Georgia. James V Waldron practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for James V Waldron is 1215054853. The last update date is 2016-01-27.
James V Waldron's current location address is 3820 Medical Park Dr, Austell, Georgia. You can contact this provider via phone number 7709486041 and fax number 7707395411. The mailing address for James V Waldron is 3820 Medical Park Dr, Austell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James V Waldron |
|---|---|
| Address | 3820 Medical Park Dr, Austell, Georgia |
| Phone Number | 7709486041 |
| Fax Number | 7707395411 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1215054853 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2016-01-27 |
Provider Mailing Address Detail
| Address | 3820 Medical Park Dr |
|---|---|
| City | Austell |
| State | Georgia (GA) |
| Post Code | 301061110 |
| Phone Number | 7709486041 |
| Fax Number | 7707395411 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4817 |
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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 identification code assigned to James V Waldron by the Centers for Medicare & Medicaid Services?
The James V Waldron has been issued the NPI (National Provider Identifier) 1215054853. This 10-digit code 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 James V Waldron?
The James V Waldron is physically situated at 3820 Medical Park Dr, in the city of Austell, state of GA, with the postal code 301061110.
What is James V Waldron's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The James V Waldron's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the James V Waldron receive the assignment of its 1215054853 from the Centers for Medicare & Medicaid Services?
The James V Waldron was issued its 1215054853 by the Centers for Medicare & Medicaid Services on 2007-03-26.
As of what date were the James V Waldron's details last updated?
The information pertaining to the James V Waldron, including its address, specialty, and other details, was most recently updated on 2016-01-27.