Mary K Decker in North Charleston - Physician Assistant
Mary K Decker - NPI 1679501118
Mary K Decker is a Physician Assistant in North Charleston, South Carolina. Mary K Decker practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary K Decker is 1679501118. The last update date is 2007-07-08.
Mary K Decker's current location address is 8091 Rivers Ave, North Charleston, South Carolina. You can contact this provider via phone number 8435727000 and fax number 8435724070. The mailing address for Mary K Decker is 8091 Rivers Ave, North Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary K Decker |
|---|---|
| Address | 8091 Rivers Ave, North Charleston, South Carolina |
| Phone Number | 8435727000 |
| Fax Number | 8435724070 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1679501118 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8091 Rivers Ave |
|---|---|
| City | North Charleston |
| State | South Carolina (SC) |
| Post Code | 2940692360 |
| Phone Number | 8435727000 |
| Fax Number | 8435724070 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 710 |
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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
Can you provide the Mary K Decker's physical address?
The Mary K Decker is physically located at 8091 Rivers Ave, in the city of North Charleston, SC, with the postal code 2940692360.
What is the Mary K Decker's area of specialization and corresponding taxonomy classification?
The Mary K Decker's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did the Mary K Decker receive its 1679501118?
The Mary K Decker was issued its 1679501118 on 2006-06-30, which is the date when the organization was assigned this unique identifier.
As of what date were the Mary K Decker's details last updated?
The information pertaining to the Mary K Decker, including its address, specialty, and other details, was most recently updated on 2007-07-08.
As of what date were the details related to Mary K Decker most recently updated or revised?
The information pertaining to Mary K Decker, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.