Nestor Antonio Baldizon in Carrollton - Physician Assistant
Nestor Antonio Baldizon - NPI 1427049717
Nestor Antonio Baldizon is a Physician Assistant in Carrollton, Georgia. Nestor Antonio Baldizon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nestor Antonio Baldizon is 1427049717. The last update date is 2014-06-30.
Nestor Antonio Baldizon's current location address is 119 Ambulance Dr, Carrollton, Georgia. You can contact this provider via phone number 7708388640 and fax number 7708388650. The mailing address for Nestor Antonio Baldizon is 119 Ambulance Dr, Carrollton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nestor Antonio Baldizon |
|---|---|
| Address | 119 Ambulance Dr, Carrollton, Georgia |
| Phone Number | 7708388640 |
| Fax Number | 7708388650 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1427049717 |
|---|---|
| Provider Enumeration Date | 2005-11-04 |
| Last Updated Date | 2014-06-30 |
Provider Mailing Address Detail
| Address | 119 Ambulance Dr |
|---|---|
| City | Carrollton |
| State | Georgia (GA) |
| Post Code | 301173857 |
| Phone Number | 7708388640 |
| Fax Number | 7708388650 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4239 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 253274100B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Nestor Antonio Baldizon by the Centers for Medicare & Medicaid Services?
The Nestor Antonio Baldizon has been issued the NPI (National Provider Identifier) 1427049717 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Nestor Antonio Baldizon is located?
The Nestor Antonio Baldizon is situated at the following address: 119 Ambulance Dr, Carrollton, GA, 301173857.
What is Nestor Antonio Baldizon'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 Nestor Antonio Baldizon is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Nestor Antonio Baldizon receive its 1427049717 assignment from the Centers for Medicare & Medicaid Services?
The Nestor Antonio Baldizon was assigned its 1427049717 on 2005-11-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Nestor Antonio Baldizon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nestor Antonio Baldizon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-06-30.