Nocollege A Pupuma in Lawrenceville - Medical

Nocollege A Pupuma - NPI 1689626657

Nocollege A Pupuma is a Medical in Lawrenceville, Georgia. Nocollege A Pupuma practices all healthcare services and medical treatments related to Medical. The NPI Number for Nocollege A Pupuma is 1689626657. The last update date is 2007-07-08.

Nocollege A Pupuma's current location address is 1431 Riverside Pkwy, Lawrenceville, Georgia. You can contact this provider via phone number 7705130111 and fax number 7705133731. The mailing address for Nocollege A Pupuma is 1431 Riverside Pkwy, Lawrenceville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Nocollege A Pupuma
Address 1431 Riverside Pkwy, Lawrenceville, Georgia
Phone Number 7705130111
Fax Number 7705133731
Sole Proprietor X
Credentials P.A.C.

NPI Number Detail

NPI Number 1689626657
Provider Enumeration Date 2006-05-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1431 Riverside Pkwy
City Lawrenceville
State Georgia (GA)
Post Code 300435946
Phone Number 7705130111
Fax Number 7705133731

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 3263
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Nocollege A Pupuma

What is the unique identifier code issued to Nocollege A Pupuma by the Centers for Medicare & Medicaid Services (CMS)?

The Nocollege A Pupuma has been assigned the NPI (National Provider Identifier) 1689626657. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Nocollege A Pupuma is physically located?

The Nocollege A Pupuma is physically situated at the following address: 1431 Riverside Pkwy, Lawrenceville, GA, 300435946.

What is the Nocollege A Pupuma's area of specialization and corresponding taxonomy classification?

The Nocollege A Pupuma's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.

On what date did the Nocollege A Pupuma receive its 1689626657 assignment from the Centers for Medicare & Medicaid Services?

The Nocollege A Pupuma was assigned its 1689626657 by the Centers for Medicare & Medicaid Services on 2006-05-17.

When was the information pertaining to Nocollege A Pupuma most recently updated or revised?

The details related to Nocollege A Pupuma, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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