Amanda Mccook is a Medical in Waycross, Georgia. Amanda Mccook practices all healthcare services and medical treatments related to Medical. The NPI Number for Amanda Mccook is 1316043227. The last update date is 2016-05-17.
Amanda Mccook's current location address is 409 Uvalda St, Waycross, Georgia. You can contact this provider via phone number 9122831359 and fax number 9122831362. The mailing address for Amanda Mccook is 409 Uvalda St, Waycross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Mccook |
|---|---|
| Address | 409 Uvalda St, Waycross, Georgia |
| Phone Number | 9122831359 |
| Fax Number | 9122831362 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1316043227 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2016-05-17 |
Provider Mailing Address Detail
| Address | 409 Uvalda St |
|---|---|
| City | Waycross |
| State | Georgia (GA) |
| Post Code | 315014574 |
| Phone Number | 9122831359 |
| Fax Number | 9122831362 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9103832 |
|
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 |
|---|---|---|---|
| 003130352C | GA | -- | |
| 292817500 | FL | -- |
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What is the unique identification code assigned to Amanda Mccook by the Centers for Medicare & Medicaid Services?
The Amanda Mccook has been issued the NPI (National Provider Identifier) 1316043227. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Amanda Mccook's physical address?
The Amanda Mccook is physically located at 409 Uvalda St, in the city of Waycross, GA, with the postal code 315014574.
What is the Amanda Mccook's specialty and taxonomy code?
The Amanda Mccook's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When did Amanda Mccook receive its 1316043227 assignment?
The Amanda Mccook was assigned its 1316043227 on 2006-09-16, which is the date when this unique identifier was issued to the organization.
When was the Amanda Mccook's information last updated?
The Amanda Mccook's information was last updated on 2016-05-17.
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