Donna Antonia Theodore in Raleigh - Medical
Donna Antonia Theodore - NPI 1366470791
Donna Antonia Theodore is a Medical in Raleigh, North Carolina. Donna Antonia Theodore practices all healthcare services and medical treatments related to Medical. The NPI Number for Donna Antonia Theodore is 1366470791. The last update date is 2007-07-08.
Donna Antonia Theodore's current location address is 3604 Bush St, Raleigh, North Carolina. You can contact this provider via phone number 9198767807 and fax number 9198768823. The mailing address for Donna Antonia Theodore is 3604 Bush St, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donna Antonia Theodore |
|---|---|
| Address | 3604 Bush St, Raleigh, North Carolina |
| Phone Number | 9198767807 |
| Fax Number | 9198768823 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1366470791 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3604 Bush St |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276097511 |
| Phone Number | 9198767807 |
| Fax Number | 9198768823 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 104147 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Donna Antonia Theodore by the Centers for Medicare & Medicaid Services?
The Donna Antonia Theodore has been issued the NPI (National Provider Identifier) 1366470791 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Donna Antonia Theodore's facilities are situated?
The facilities of Donna Antonia Theodore are physically located at the following address: 3604 Bush St, Raleigh, NC, 276097511.
What is the Donna Antonia Theodore's area of specialization and corresponding taxonomy classification?
The Donna Antonia Theodore'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 Centers for Medicare & Medicaid Services originally issue the 1366470791 to Donna Antonia Theodore?
The Centers for Medicare & Medicaid Services originally issued the 1366470791 to Donna Antonia Theodore on 2006-06-28.
When was the information related to Donna Antonia Theodore most recently updated or refreshed?
The details pertaining to the Donna Antonia Theodore, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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