Carol Jean Mack in Leesburg - Physician Assistant
Carol Jean Mack - NPI 1235207366
Carol Jean Mack is a Physician Assistant in Leesburg, Virginia. Carol Jean Mack practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carol Jean Mack is 1235207366. The last update date is 2007-07-08.
Carol Jean Mack's current location address is 1106 Norris Ct Sw, Leesburg, Virginia. You can contact this provider via phone number 7036699343. The mailing address for Carol Jean Mack is 1106 Norris Ct Sw, Leesburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Jean Mack |
|---|---|
| Address | 1106 Norris Ct Sw, Leesburg, Virginia |
| Phone Number | 7036699343 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1235207366 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1106 Norris Ct Sw |
|---|---|
| City | Leesburg |
| State | Virginia (VA) |
| Post Code | 201754361 |
| Phone Number | 7036699343 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA30161 |
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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 |
|---|---|---|---|
| PA30161 | DC | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carol Jean Mack by the Centers for Medicare & Medicaid Services?
The Carol Jean Mack has been issued the NPI (National Provider Identifier) 1235207366, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Carol Jean Mack's physical address?
The Carol Jean Mack is physically located at 1106 Norris Ct Sw, in the city of Leesburg, VA, with the postal code 201754361.
Could you please provide the complete street address where Carol Jean Mack is physically located?
The Carol Jean Mack is physically situated at the following address: 1106 Norris Ct Sw, Leesburg, VA, 201754361.
What is Carol Jean Mack's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Carol Jean Mack is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Carol Jean Mack receive its 1235207366 assignment from the Centers for Medicare & Medicaid Services?
The Carol Jean Mack was assigned its 1235207366 by the Centers for Medicare & Medicaid Services on 2006-11-30.
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