Arthur Thomas Roach in Olive Branch - Medical
Arthur Thomas Roach - NPI 1619967478
Arthur Thomas Roach is a Medical in Olive Branch, Mississippi. Arthur Thomas Roach practices all healthcare services and medical treatments related to Medical. The NPI Number for Arthur Thomas Roach is 1619967478. The last update date is 2009-11-20.
Arthur Thomas Roach's current location address is 5185 Nail Road, Olive Branch, Mississippi. You can contact this provider via phone number 6628956738 and fax number 6622801736. The mailing address for Arthur Thomas Roach is 5185 Nail Road, Olive Branch, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Arthur Thomas Roach |
|---|---|
| Address | 5185 Nail Road, Olive Branch, Mississippi |
| Phone Number | 6628956738 |
| Fax Number | 6622801736 |
| Sole Proprietor | N |
| Credentials | P.A.-C. |
NPI Number Detail
| NPI Number | 1619967478 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2009-11-20 |
Provider Mailing Address Detail
| Address | 5185 Nail Road |
|---|---|
| City | Olive Branch |
| State | Mississippi (MS) |
| Post Code | 386548245 |
| Phone Number | 6628956738 |
| Fax Number | 6622801736 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA-025 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identification code issued to Arthur Thomas Roach by the Centers for Medicare & Medicaid Services?
The Arthur Thomas Roach has been assigned the NPI (National Provider Identifier) 1619967478 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Arthur Thomas Roach?
The Arthur Thomas Roach is physically situated at 5185 Nail Road, in the city of Olive Branch, state of MS, with the postal code 386548245.
What is Arthur Thomas Roach's area of expertise and its corresponding taxonomy classification?
The Arthur Thomas Roach's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Arthur Thomas Roach receive its 1619967478 assignment from the Centers for Medicare & Medicaid Services?
The Arthur Thomas Roach was assigned its 1619967478 by the Centers for Medicare & Medicaid Services on 2005-10-24.
As of what date were the Arthur Thomas Roach's details last updated?
The information pertaining to the Arthur Thomas Roach, including its address, specialty, and other details, was most recently updated on 2009-11-20.