Wallace S Liggett in Charlotte - Physician Assistant
Wallace S Liggett - NPI 1255391330
Wallace S Liggett is a Physician Assistant in Charlotte, North Carolina. Wallace S Liggett practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Wallace S Liggett is 1255391330. The last update date is 2016-06-20.
Wallace S Liggett's current location address is 4601 Park Rd, Charlotte, North Carolina. You can contact this provider via phone number 7043232000. The mailing address for Wallace S Liggett is 4601 Park Rd, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace S Liggett |
|---|---|
| Address | 4601 Park Rd, Charlotte, North Carolina |
| Phone Number | 7043232000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1255391330 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2016-06-20 |
Provider Mailing Address Detail
| Address | 4601 Park Rd |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282093239 |
| Phone Number | 7043232000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 0010-01735 |
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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 |
|---|---|---|---|
| GM0561 | SC | -- | |
| 0010-01735 | NC | LICENSE | |
| 970023056 | SC | RR MEDICARE |
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What is the unique 10-digit identification code issued to Wallace S Liggett by the Centers for Medicare & Medicaid Services?
The Wallace S Liggett has been assigned the NPI (National Provider Identifier) 1255391330 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Wallace S Liggett located?
The Wallace S Liggett is located at 4601 Park Rd, Charlotte, NC 282093239.
What is the Wallace S Liggett's area of specialization and corresponding taxonomy classification?
The Wallace S Liggett's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When was the Wallace S Liggett's 1255391330 issued?
The Wallace S Liggett's 1255391330 was issued on 2006-03-24.
As of what date was the information regarding Wallace S Liggett, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wallace S Liggett, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-06-20.
NPI Number: 1255391348
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