Phan Tasco Anderson in Kathleen - Physician Assistant
Phan Tasco Anderson - NPI 1265570105
Phan Tasco Anderson is a Physician Assistant in Kathleen, Georgia. Phan Tasco Anderson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Phan Tasco Anderson is 1265570105. The last update date is 2012-01-18.
Phan Tasco Anderson's current location address is 203 Greythorne Dr, Kathleen, Georgia. You can contact this provider via phone number 7193379392. The mailing address for Phan Tasco Anderson is 203 Greythorne Dr, Kathleen, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phan Tasco Anderson |
|---|---|
| Address | 203 Greythorne Dr, Kathleen, Georgia |
| Phone Number | 7193379392 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1265570105 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2012-01-18 |
Provider Mailing Address Detail
| Address | 203 Greythorne Dr |
|---|---|
| City | Kathleen |
| State | Georgia (GA) |
| Post Code | 310475304 |
| Phone Number | 7193379392 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1457 |
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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 identifier code issued to Phan Tasco Anderson by the Centers for Medicare & Medicaid Services (CMS)?
The Phan Tasco Anderson has been assigned the NPI (National Provider Identifier) 1265570105. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Phan Tasco Anderson located?
The Phan Tasco Anderson is located at 203 Greythorne Dr, Kathleen, GA 310475304.
What is the Phan Tasco Anderson's specialty and taxonomy code?
The Phan Tasco Anderson's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did the Phan Tasco Anderson receive its 1265570105?
The Phan Tasco Anderson was issued its 1265570105 on 2007-02-02, which is the date when the organization was assigned this unique identifier.
When was the information regarding Phan Tasco Anderson most recently updated?
The details pertaining to the Phan Tasco Anderson, including its address, specialty, and other relevant information, were last refreshed on 2012-01-18.
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