Denise M Ledoux in Marietta - Medical

Denise M Ledoux - NPI 1245385442

Denise M Ledoux is a Medical in Marietta, Georgia. Denise M Ledoux practices all healthcare services and medical treatments related to Medical. The NPI Number for Denise M Ledoux is 1245385442. The last update date is 2012-06-27.

Denise M Ledoux's current location address is 55 Whitcher St Ne, Marietta, Georgia. You can contact this provider via phone number 7704246893 and fax number 6788190357. The mailing address for Denise M Ledoux is 55 Whitcher St Ne, Marietta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Denise M Ledoux
Address 55 Whitcher St Ne, Marietta, Georgia
Phone Number 7704246893
Fax Number 6788190357
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1245385442
Provider Enumeration Date 2007-01-25
Last Updated Date 2012-06-27

Provider Mailing Address Detail

Address 55 Whitcher St Ne
City Marietta
State Georgia (GA)
Post Code 300601155
Phone Number 7704246893
Fax Number 6788190357

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1927
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
003109728C GA --
003109728A GA --
003109728B GA --

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FAQs about Denise M Ledoux

What is the unique provider identifier assigned to Denise M Ledoux?

The Denise M Ledoux has been issued the NPI (National Provider Identifier) 1245385442 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Denise M Ledoux's physical address?

The Denise M Ledoux is physically located at 55 Whitcher St Ne, in the city of Marietta, GA, with the postal code 300601155.

What is Denise M Ledoux's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Denise M Ledoux is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.

On what date did the Denise M Ledoux receive its 1245385442 assignment from the Centers for Medicare & Medicaid Services?

The Denise M Ledoux was assigned its 1245385442 by the Centers for Medicare & Medicaid Services on 2007-01-25.

As of what date were the details related to Denise M Ledoux most recently updated or revised?

The information pertaining to Denise M Ledoux, including its address, specialty, and other relevant details, was last updated or revised on 2012-06-27.

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