Mandria L Fuqua is a Medical in Lynchburg, Virginia. Mandria L Fuqua practices all healthcare services and medical treatments related to Medical. The NPI Number for Mandria L Fuqua is 1760483697. The last update date is 2013-08-14.
Mandria L Fuqua's current location address is 2137 Lakeside Dr, Lynchburg, Virginia. You can contact this provider via phone number 4343854184 and fax number 4343858616. The mailing address for Mandria L Fuqua is 2137 Lakeside Dr, Lynchburg, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mandria L Fuqua |
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Address | 2137 Lakeside Dr, Lynchburg, Virginia |
Phone Number | 4343854184 |
Fax Number | 4343858616 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1760483697 |
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Provider Enumeration Date | 2005-08-02 |
Last Updated Date | 2013-08-14 |
Provider Mailing Address Detail
Address | 2137 Lakeside Dr |
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City | Lynchburg |
State | Virginia (VA) |
Post Code | 245016806 |
Phone Number | 4343854184 |
Fax Number | 4343858616 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | 104177 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
Post Comment/ Review Below
What is the unique identifier code issued to Mandria L Fuqua by the Centers for Medicare & Medicaid Services (CMS)?
The Mandria L Fuqua has been assigned the NPI (National Provider Identifier) 1760483697. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Mandria L Fuqua's facilities are geographically located?
The facilities of Mandria L Fuqua are physically situated at the following location: 2137 Lakeside Dr, Lynchburg, VA, 245016806.
What is Mandria L Fuqua's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mandria L Fuqua is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760483697 to Mandria L Fuqua?
The Centers for Medicare & Medicaid Services originally issued the 1760483697 to Mandria L Fuqua on 2005-08-02.
As of what date were the details related to Mandria L Fuqua most recently updated or revised?
The information pertaining to Mandria L Fuqua, including its address, specialty, and other relevant details, was last updated or revised on 2013-08-14.