Vicki Lynn Mccormack in Beaufort - Physician Assistant

Vicki Lynn Mccormack - NPI 1780872028

Vicki Lynn Mccormack is a Physician Assistant in Beaufort, North Carolina. Vicki Lynn Mccormack practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Vicki Lynn Mccormack is 1780872028. The last update date is 2011-03-09.

Vicki Lynn Mccormack's current location address is 407 Live Oak St, Beaufort, North Carolina. You can contact this provider via phone number 2527282328 and fax number 2527282628. The mailing address for Vicki Lynn Mccormack is 407 Live Oak St, Beaufort, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Vicki Lynn Mccormack
Address 407 Live Oak St, Beaufort, North Carolina
Phone Number 2527282328
Fax Number 2527282628
Sole Proprietor N
Credentials PA C

NPI Number Detail

NPI Number 1780872028
Provider Enumeration Date 2007-10-11
Last Updated Date 2011-03-09

Provider Mailing Address Detail

Address 407 Live Oak St
City Beaufort
State North Carolina (NC)
Post Code 285161944
Phone Number 2527282328
Fax Number 2527282628

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 0010-00907
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
2770846B PTAN

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FAQs about Vicki Lynn Mccormack

What is the unique provider identifier assigned to Vicki Lynn Mccormack?

The Vicki Lynn Mccormack has been issued the NPI (National Provider Identifier) 1780872028 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Vicki Lynn Mccormack?

The Vicki Lynn Mccormack is physically situated at 407 Live Oak St, in the city of Beaufort, state of NC, with the postal code 285161944.

What is Vicki Lynn Mccormack's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Vicki Lynn Mccormack's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did the Vicki Lynn Mccormack receive the assignment of its 1780872028 from the Centers for Medicare & Medicaid Services?

The Vicki Lynn Mccormack was issued its 1780872028 by the Centers for Medicare & Medicaid Services on 2007-10-11.

When was the Vicki Lynn Mccormack's information last updated?

The Vicki Lynn Mccormack's information was last updated on 2011-03-09.

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