Susan Layne Bollom in Linwood - Physician Assistant
Susan Layne Bollom - NPI 1083720643
Susan Layne Bollom is a Physician Assistant in Linwood, North Carolina. Susan Layne Bollom practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan Layne Bollom is 1083720643. The last update date is 2018-03-26.
Susan Layne Bollom's current location address is 390 Nottingham Dr, Linwood, North Carolina. You can contact this provider via phone number 7046389000. The mailing address for Susan Layne Bollom is 390 Nottingham Dr, Linwood, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Layne Bollom |
|---|---|
| Address | 390 Nottingham Dr, Linwood, North Carolina |
| Phone Number | 7046389000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1083720643 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2018-03-26 |
Provider Mailing Address Detail
| Address | 390 Nottingham Dr |
|---|---|
| City | Linwood |
| State | North Carolina (NC) |
| Post Code | 272999049 |
| Phone Number | 7046389000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA01531 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Susan Layne Bollom by the Centers for Medicare & Medicaid Services?
The Susan Layne Bollom has been issued the NPI (National Provider Identifier) 1083720643, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Susan Layne Bollom is located?
The Susan Layne Bollom is situated at the following address: 390 Nottingham Dr, Linwood, NC, 272999049.
What is the area of specialization for Susan Layne Bollom, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan Layne Bollom is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083720643 to Susan Layne Bollom?
The Susan Layne Bollom received its 1083720643 assignment from the Centers for Medicare & Medicaid Services on 2006-08-23.
As of what date were the details pertaining to Susan Layne Bollom last refreshed?
The information related to the Susan Layne Bollom, including its address, specialty, and other relevant details, was last updated on 2018-03-26.