Harold Lance Debord in Erwin - Physician Assistant
Harold Lance Debord - NPI 1366413874
Harold Lance Debord is a Physician Assistant in Erwin, Tennessee. Harold Lance Debord practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Harold Lance Debord is 1366413874. The last update date is 2022-08-09.
Harold Lance Debord's current location address is 800 S Mohawk Dr Ste E, Erwin, Tennessee. You can contact this provider via phone number 4233306177 and fax number 4233306241. The mailing address for Harold Lance Debord is 800 S Mohawk Dr Ste E, Erwin, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Harold Lance Debord |
|---|---|
| Address | 800 S Mohawk Dr Ste E, Erwin, Tennessee |
| Phone Number | 4233306177 |
| Fax Number | 4233306241 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1366413874 |
|---|---|
| Provider Enumeration Date | 2006-02-01 |
| Last Updated Date | 2022-08-09 |
Provider Mailing Address Detail
| Address | 800 S Mohawk Dr Ste E |
|---|---|
| City | Erwin |
| State | Tennessee (TN) |
| Post Code | 376502124 |
| Phone Number | 4233306177 |
| Fax Number | 4233306241 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 110002182 |
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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 |
|---|---|---|---|
| 1503864 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Harold Lance Debord?
The Harold Lance Debord has been issued the NPI (National Provider Identifier) 1366413874 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Harold Lance Debord's physical address?
The Harold Lance Debord is physically located at 800 S Mohawk Dr Ste E, in the city of Erwin, TN, with the postal code 376502124.
What is the area of specialization for Harold Lance Debord, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Harold Lance Debord 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 1366413874 to Harold Lance Debord?
The Harold Lance Debord received its 1366413874 assignment from the Centers for Medicare & Medicaid Services on 2006-02-01.
As of what date were the details related to Harold Lance Debord most recently updated or revised?
The information pertaining to Harold Lance Debord, including its address, specialty, and other relevant details, was last updated or revised on 2022-08-09.
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