Trevor Frederick Ezzell in Gainesville - Family
Trevor Frederick Ezzell - NPI 1780847699
Trevor Frederick Ezzell is a Family in Gainesville, Georgia. Trevor Frederick Ezzell practices all healthcare services and medical treatments related to Family. The NPI Number for Trevor Frederick Ezzell is 1780847699. The last update date is 2012-02-20.
Trevor Frederick Ezzell's current location address is Po Box 658, Gainesville, Georgia. You can contact this provider via phone number 7707181122 and fax number 7705357445. The mailing address for Trevor Frederick Ezzell is Po Box 658, Gainesville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Trevor Frederick Ezzell |
|---|---|
| Address | Po Box 658, Gainesville, Georgia |
| Phone Number | 7707181122 |
| Fax Number | 7705357445 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1780847699 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2012-02-20 |
Provider Mailing Address Detail
| Address | Po Box 658 |
|---|---|
| City | Gainesville |
| State | Georgia (GA) |
| Post Code | 305030658 |
| Phone Number | 7707181122 |
| Fax Number | 7705357445 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN152048 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 462656 | GA | WELLCARE | |
| 1228809 | GA | AMERIGROUP | |
| 129681407A | GA | -- | |
| P00903614 | GA | MEDICARE RAILROAD | |
| 129681407B | GA | -- | |
| 129681407C | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Trevor Frederick Ezzell by the Centers for Medicare & Medicaid Services?
The Trevor Frederick Ezzell has been issued the NPI (National Provider Identifier) 1780847699 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Trevor Frederick Ezzell located?
The Trevor Frederick Ezzell is located at Po Box 658, Gainesville, GA 305030658.
What is Trevor Frederick Ezzell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Trevor Frederick Ezzell is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780847699 to Trevor Frederick Ezzell?
The Trevor Frederick Ezzell received its 1780847699 assignment from the Centers for Medicare & Medicaid Services on 2008-07-10.
As of what date were the Trevor Frederick Ezzell's details last updated?
The information pertaining to the Trevor Frederick Ezzell, including its address, specialty, and other details, was most recently updated on 2012-02-20.
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