Madonna Moore Henry in Savannah - Physician Assistant
Madonna Moore Henry - NPI 1750545737
Madonna Moore Henry is a Physician Assistant in Savannah, Georgia. Madonna Moore Henry practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Madonna Moore Henry is 1750545737. The last update date is 2017-05-26.
Madonna Moore Henry's current location address is 210 East Derenne Avenue, Savannah, Georgia. You can contact this provider via phone number 9126445300 and fax number 9126443369. The mailing address for Madonna Moore Henry is 210 East Derenne Avenue, Savannah, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Madonna Moore Henry |
|---|---|
| Address | 210 East Derenne Avenue, Savannah, Georgia |
| Phone Number | 9126445300 |
| Fax Number | 9126443369 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1750545737 |
|---|---|
| Provider Enumeration Date | 2008-07-18 |
| Last Updated Date | 2017-05-26 |
Provider Mailing Address Detail
| Address | 210 East Derenne Avenue |
|---|---|
| City | Savannah |
| State | Georgia (GA) |
| Post Code | 314054801 |
| Phone Number | 9126445300 |
| Fax Number | 9126443369 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5351 |
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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 10-digit identifier code issued to Madonna Moore Henry by the Centers for Medicare & Medicaid Services?
The Madonna Moore Henry has been assigned the NPI (National Provider Identifier) 1750545737 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Madonna Moore Henry?
The Madonna Moore Henry is situated at 210 East Derenne Avenue, in the city of Savannah, state of GA, with the zip code 314054801.
What is Madonna Moore Henry'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 Madonna Moore Henry is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750545737 to Madonna Moore Henry?
The Centers for Medicare & Medicaid Services originally issued the 1750545737 to Madonna Moore Henry on 2008-07-18.
When was the Madonna Moore Henry's information last updated?
The Madonna Moore Henry's information was last updated on 2017-05-26.