Melissa Bearden Vandenberg in Mobile - Surgical

Melissa Bearden Vandenberg - NPI 1386642148

Melissa Bearden Vandenberg is a Surgical in Mobile, Alabama. Melissa Bearden Vandenberg practices all healthcare services and medical treatments related to Surgical. The NPI Number for Melissa Bearden Vandenberg is 1386642148. The last update date is 2009-12-07.

Melissa Bearden Vandenberg's current location address is 1855 Springhill Ave, Mobile, Alabama. You can contact this provider via phone number 2514713544 and fax number 2514767254. The mailing address for Melissa Bearden Vandenberg is 1855 Springhill Ave, Mobile, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Melissa Bearden Vandenberg
Address 1855 Springhill Ave, Mobile, Alabama
Phone Number 2514713544
Fax Number 2514767254
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1386642148
Provider Enumeration Date 2005-07-14
Last Updated Date 2009-12-07

Provider Mailing Address Detail

Address 1855 Springhill Ave
City Mobile
State Alabama (AL)
Post Code 366072301
Phone Number 2514713544
Fax Number 2514767254

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA-63
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
510-42399 AL BLUE CROSS BLUE SHIELD

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FAQs about Melissa Bearden Vandenberg

What is the Melissa Bearden Vandenberg's unique identification number?

The Melissa Bearden Vandenberg has been assigned the NPI (National Provider Identifier) Number 1386642148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Melissa Bearden Vandenberg is geographically located?

The Melissa Bearden Vandenberg is physically situated at the following location: 1855 Springhill Ave, Mobile, AL, 366072301.

What is Melissa Bearden Vandenberg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Melissa Bearden Vandenberg is Surgical, and the taxonomy code that categorizes this field of expertise is 363As0400X.

On what date did Melissa Bearden Vandenberg receive its 1386642148 assignment from the Centers for Medicare & Medicaid Services?

The Melissa Bearden Vandenberg was assigned its 1386642148 on 2005-07-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Melissa Bearden Vandenberg's information last updated?

The Melissa Bearden Vandenberg's information was last updated on 2009-12-07.

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