Ashley Suzam Nordstrom in Monticello - Physician Assistant
Ashley Suzam Nordstrom - NPI 1568636306
Ashley Suzam Nordstrom is a Physician Assistant in Monticello, Georgia. Ashley Suzam Nordstrom practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ashley Suzam Nordstrom is 1568636306. The last update date is 2014-01-30.
Ashley Suzam Nordstrom's current location address is 898 College St, Monticello, Georgia. You can contact this provider via phone number 7064680988 and fax number 7064686631. The mailing address for Ashley Suzam Nordstrom is 898 College St, Monticello, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ashley Suzam Nordstrom |
|---|---|
| Address | 898 College St, Monticello, Georgia |
| Phone Number | 7064680988 |
| Fax Number | 7064686631 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1568636306 |
|---|---|
| Provider Enumeration Date | 2008-04-14 |
| Last Updated Date | 2014-01-30 |
Provider Mailing Address Detail
| Address | 898 College St |
|---|---|
| City | Monticello |
| State | Georgia (GA) |
| Post Code | 310641258 |
| Phone Number | 7064680988 |
| Fax Number | 7064686631 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5296 |
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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 |
|---|---|---|---|
| 003141276A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ashley Suzam Nordstrom by the Centers for Medicare & Medicaid Services (CMS)?
The Ashley Suzam Nordstrom has been assigned the NPI (National Provider Identifier) 1568636306. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Ashley Suzam Nordstrom's facilities are geographically located?
The facilities of Ashley Suzam Nordstrom are physically situated at the following location: 898 College St, Monticello, GA, 310641258.
What is Ashley Suzam Nordstrom's area of expertise and its corresponding taxonomy classification?
The Ashley Suzam Nordstrom's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When was the Ashley Suzam Nordstrom's 1568636306 issued?
The Ashley Suzam Nordstrom's 1568636306 was issued on 2008-04-14.
When was the information regarding Ashley Suzam Nordstrom most recently updated?
The details pertaining to the Ashley Suzam Nordstrom, including its address, specialty, and other relevant information, were last refreshed on 2014-01-30.
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