Stanley Bruce Allen in Thomasville - Physician Assistant
Stanley Bruce Allen - NPI 1326034505
Stanley Bruce Allen is a Physician Assistant in Thomasville, Georgia. Stanley Bruce Allen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stanley Bruce Allen is 1326034505. The last update date is 2020-09-17.
Stanley Bruce Allen's current location address is 2621 E Pinetree Blvd, Thomasville, Georgia. You can contact this provider via phone number 2295844100. The mailing address for Stanley Bruce Allen is 2621 E Pinetree Blvd, Thomasville, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stanley Bruce Allen |
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Address | 2621 E Pinetree Blvd, Thomasville, Georgia |
Phone Number | 2295844100 |
Fax Number | |
Sole Proprietor | N |
Credentials | PAC |
NPI Number Detail
NPI Number | 1326034505 |
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Provider Enumeration Date | 2005-09-23 |
Last Updated Date | 2020-09-17 |
Provider Mailing Address Detail
Address | 2621 E Pinetree Blvd |
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City | Thomasville |
State | Georgia (GA) |
Post Code | 317924840 |
Phone Number | 2295844100 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 1731 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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100000109B | GA | -- | |
970029019 | GA | RAILROAD MEDICARE | |
GRP7061 | GA | MEDICARE GROUP |
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What is the unique 10-digit identifier code issued to Stanley Bruce Allen by the Centers for Medicare & Medicaid Services?
The Stanley Bruce Allen has been assigned the NPI (National Provider Identifier) 1326034505 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Stanley Bruce Allen's facilities are situated?
The facilities of Stanley Bruce Allen are physically located at the following address: 2621 E Pinetree Blvd, Thomasville, GA, 317924840.
What is Stanley Bruce Allen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stanley Bruce Allen is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Stanley Bruce Allen receive the assignment of its 1326034505 from the Centers for Medicare & Medicaid Services?
The Stanley Bruce Allen was issued its 1326034505 by the Centers for Medicare & Medicaid Services on 2005-09-23.
When was the information regarding Stanley Bruce Allen most recently updated?
The details pertaining to the Stanley Bruce Allen, including its address, specialty, and other relevant information, were last refreshed on 2020-09-17.