Terence Malloy Martin in Macon - Physician Assistant
Terence Malloy Martin - NPI 1578616868
Terence Malloy Martin is a Physician Assistant in Macon, Georgia. Terence Malloy Martin practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Terence Malloy Martin is 1578616868. The last update date is 2015-09-15.
Terence Malloy Martin's current location address is 1600 Forsyth St, Macon, Georgia. You can contact this provider via phone number 4787433000. The mailing address for Terence Malloy Martin is 1600 Forsyth St, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terence Malloy Martin |
|---|---|
| Address | 1600 Forsyth St, Macon, Georgia |
| Phone Number | 4787433000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1578616868 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2015-09-15 |
Provider Mailing Address Detail
| Address | 1600 Forsyth St |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312011408 |
| Phone Number | 4787433000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 239 |
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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 |
|---|---|---|---|
| 100002814A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Terence Malloy Martin by the Centers for Medicare & Medicaid Services (CMS)?
The Terence Malloy Martin has been assigned the NPI (National Provider Identifier) 1578616868. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Terence Malloy Martin is physically located?
The Terence Malloy Martin is physically situated at the following address: 1600 Forsyth St, Macon, GA, 312011408.
What is the Terence Malloy Martin's specialty and taxonomy code?
The Terence Malloy Martin's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did Terence Malloy Martin receive its 1578616868 assignment?
The Terence Malloy Martin was assigned its 1578616868 on 2007-01-19, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Terence Malloy Martin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Terence Malloy Martin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-09-15.
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