Shelly Warren Darty in High Point - Physician Assistant

Shelly Warren Darty - NPI 1013990712

Shelly Warren Darty is a Physician Assistant in High Point, North Carolina. Shelly Warren Darty practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shelly Warren Darty is 1013990712. The last update date is 2009-05-18.

Shelly Warren Darty's current location address is 607 Idol St, High Point, North Carolina. You can contact this provider via phone number 3368022400 and fax number 3368022001. The mailing address for Shelly Warren Darty is 607 Idol St, High Point, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Shelly Warren Darty
Address 607 Idol St, High Point, North Carolina
Phone Number 3368022400
Fax Number 3368022001
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1013990712
Provider Enumeration Date 2005-11-28
Last Updated Date 2009-05-18

Provider Mailing Address Detail

Address 607 Idol St
City High Point
State North Carolina (NC)
Post Code 272627804
Phone Number 3368022400
Fax Number 3368022001

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
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
7057773 NC AETNA
D7935 NC MEDCOST

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FAQs about Shelly Warren Darty

What is the unique 10-digit identification code issued to Shelly Warren Darty by the Centers for Medicare & Medicaid Services?

The Shelly Warren Darty has been assigned the NPI (National Provider Identifier) 1013990712 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Shelly Warren Darty's facilities are geographically located?

The facilities of Shelly Warren Darty are physically situated at the following location: 607 Idol St, High Point, NC, 272627804.

What is the Shelly Warren Darty's specialty and taxonomy code?

The Shelly Warren Darty's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1013990712 to Shelly Warren Darty?

The Centers for Medicare & Medicaid Services assigned the 1013990712 to Shelly Warren Darty on 2005-11-28.

As of what date were the Shelly Warren Darty's details last updated?

The information pertaining to the Shelly Warren Darty, including its address, specialty, and other details, was most recently updated on 2009-05-18.

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