Michael Stephen Chammoun in Valdosta - Physician Assistant
Michael Stephen Chammoun - NPI 1962404541
Michael Stephen Chammoun is a Physician Assistant in Valdosta, Georgia. Michael Stephen Chammoun practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Stephen Chammoun is 1962404541. The last update date is 2010-03-25.
Michael Stephen Chammoun's current location address is 2310 N Patterson St, Valdosta, Georgia. You can contact this provider via phone number 2292472482 and fax number 2292470827. The mailing address for Michael Stephen Chammoun is 2310 N Patterson St, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Stephen Chammoun |
|---|---|
| Address | 2310 N Patterson St, Valdosta, Georgia |
| Phone Number | 2292472482 |
| Fax Number | 2292470827 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1962404541 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2010-03-25 |
Provider Mailing Address Detail
| Address | 2310 N Patterson St |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 316022568 |
| Phone Number | 2292472482 |
| Fax Number | 2292470827 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3153 |
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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 |
|---|---|---|---|
| 100000805A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Stephen Chammoun by the Centers for Medicare & Medicaid Services?
The Michael Stephen Chammoun has been assigned the NPI (National Provider Identifier) 1962404541. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Michael Stephen Chammoun is located?
The Michael Stephen Chammoun is situated at the following address: 2310 N Patterson St, Valdosta, GA, 316022568.
What is Michael Stephen Chammoun's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Stephen Chammoun's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Michael Stephen Chammoun receive its 1962404541 assignment from the Centers for Medicare & Medicaid Services?
The Michael Stephen Chammoun was assigned its 1962404541 by the Centers for Medicare & Medicaid Services on 2005-08-12.
As of what date were the Michael Stephen Chammoun's details last updated?
The information pertaining to the Michael Stephen Chammoun, including its address, specialty, and other details, was most recently updated on 2010-03-25.