Kelly W Toler is a Physician Assistant in Dublin, Georgia. Kelly W Toler practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly W Toler is 1083608244. The last update date is 2015-03-11.
Kelly W Toler's current location address is 2400 Bellevue Rd, Dublin, Georgia. You can contact this provider via phone number 4782757202 and fax number 4782748418. The mailing address for Kelly W Toler is 2400 Bellevue Rd, Dublin, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly W Toler |
|---|---|
| Address | 2400 Bellevue Rd, Dublin, Georgia |
| Phone Number | 4782757202 |
| Fax Number | 4782748418 |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1083608244 |
|---|---|
| Provider Enumeration Date | 2005-09-02 |
| Last Updated Date | 2015-03-11 |
Provider Mailing Address Detail
| Address | 2400 Bellevue Rd |
|---|---|
| City | Dublin |
| State | Georgia (GA) |
| Post Code | 310212885 |
| Phone Number | 4782757202 |
| Fax Number | 4782748418 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3418 |
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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 |
|---|---|---|---|
| 479070329B | GA | -- | |
| DC4061 | GA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Kelly W Toler by the Centers for Medicare & Medicaid Services?
The Kelly W Toler has been issued the NPI (National Provider Identifier) 1083608244. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kelly W Toler is located?
The Kelly W Toler is situated at the following address: 2400 Bellevue Rd, Dublin, GA, 310212885.
What is Kelly W Toler's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly W Toler'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 Kelly W Toler receive its 1083608244 assignment from the Centers for Medicare & Medicaid Services?
The Kelly W Toler was assigned its 1083608244 on 2005-09-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kelly W Toler most recently updated or refreshed?
The details pertaining to the Kelly W Toler, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-03-11.
NPI Number: 1932102142
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