Mandria L Fuqua in Lynchburg - Physician Assistant
Mandria L Fuqua - NPI 1760483697
Mandria L Fuqua is a Physician Assistant in Lynchburg, Virginia. Mandria L Fuqua practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mandria L Fuqua is 1760483697. The last update date is 2013-08-14.
Mandria L Fuqua's current location address is 2137 Lakeside Dr, Lynchburg, Virginia. You can contact this provider via phone number 4343854184 and fax number 4343858616. The mailing address for Mandria L Fuqua is 2137 Lakeside Dr, Lynchburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mandria L Fuqua |
|---|---|
| Address | 2137 Lakeside Dr, Lynchburg, Virginia |
| Phone Number | 4343854184 |
| Fax Number | 4343858616 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1760483697 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2013-08-14 |
Provider Mailing Address Detail
| Address | 2137 Lakeside Dr |
|---|---|
| City | Lynchburg |
| State | Virginia (VA) |
| Post Code | 245016806 |
| Phone Number | 4343854184 |
| Fax Number | 4343858616 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 110002029 |
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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 identifier code issued to Mandria L Fuqua by the Centers for Medicare & Medicaid Services (CMS)?
The Mandria L Fuqua has been assigned the NPI (National Provider Identifier) 1760483697. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Mandria L Fuqua's facilities are geographically located?
The facilities of Mandria L Fuqua are physically situated at the following location: 2137 Lakeside Dr, Lynchburg, VA, 245016806.
What is Mandria L Fuqua's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mandria L Fuqua is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760483697 to Mandria L Fuqua?
The Centers for Medicare & Medicaid Services originally issued the 1760483697 to Mandria L Fuqua on 2005-08-02.
As of what date were the details related to Mandria L Fuqua most recently updated or revised?
The information pertaining to Mandria L Fuqua, including its address, specialty, and other relevant details, was last updated or revised on 2013-08-14.