Michelle King Clardy in Woodstock - Physician Assistant
Michelle King Clardy - NPI 1073732426
Michelle King Clardy is a Physician Assistant in Woodstock, Georgia. Michelle King Clardy practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michelle King Clardy is 1073732426. The last update date is 2017-02-01.
Michelle King Clardy's current location address is 900 Towne Lake Pkwy, Woodstock, Georgia. You can contact this provider via phone number 7709269229 and fax number 6784152164. The mailing address for Michelle King Clardy is 900 Towne Lake Pkwy, Woodstock, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle King Clardy |
|---|---|
| Address | 900 Towne Lake Pkwy, Woodstock, Georgia |
| Phone Number | 7709269229 |
| Fax Number | 6784152164 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1073732426 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2017-02-01 |
Provider Mailing Address Detail
| Address | 900 Towne Lake Pkwy |
|---|---|
| City | Woodstock |
| State | Georgia (GA) |
| Post Code | 301891602 |
| Phone Number | 7709269229 |
| Fax Number | 6784152164 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1631 |
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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 |
|---|---|---|---|
| 003151291F | GA | -- | |
| 003151291H | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Michelle King Clardy by the Centers for Medicare & Medicaid Services?
The Michelle King Clardy has been assigned the NPI (National Provider Identifier) 1073732426 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Michelle King Clardy is physically located?
The Michelle King Clardy is situated at the following address: 900 Towne Lake Pkwy, Woodstock, GA 301891602.
What is the Michelle King Clardy's area of specialization and corresponding taxonomy classification?
The Michelle King Clardy's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1073732426 to Michelle King Clardy?
The Centers for Medicare & Medicaid Services assigned the 1073732426 to Michelle King Clardy on 2007-04-24.
As of what date was the information regarding Michelle King Clardy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michelle King Clardy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-02-01.
NPI Number: 1528061710
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