Joyce Vissage in Seneca - Pediatrics

Joyce Vissage - NPI 1124091657

Joyce Vissage is a Pediatrics in Seneca, South Carolina. Joyce Vissage practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Joyce Vissage is 1124091657. The last update date is 2012-06-21.

Joyce Vissage's current location address is 457-b Hwy 123 Bypass, Seneca, South Carolina. You can contact this provider via phone number 8648884464 and fax number 8648884462. The mailing address for Joyce Vissage is 457-b Hwy 123 Bypass, Seneca, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Joyce Vissage
Address 457-b Hwy 123 Bypass, Seneca, South Carolina
Phone Number 8648884464
Fax Number 8648884462
Sole Proprietor N
Credentials CPNP

NPI Number Detail

NPI Number 1124091657
Provider Enumeration Date 2006-02-07
Last Updated Date 2012-06-21

Provider Mailing Address Detail

Address 457-b Hwy 123 Bypass
City Seneca
State South Carolina (SC)
Post Code 29678
Phone Number 8648884464
Fax Number 8648884462

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No P2224
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
RHC195 SC --
GP1060 SC --

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FAQs about Joyce Vissage

What is the Joyce Vissage's unique identification number?

The Joyce Vissage has been assigned the NPI (National Provider Identifier) Number 1124091657 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Joyce Vissage?

The Joyce Vissage is physically situated at 457-B Hwy 123 Bypass, in the city of Seneca, state of SC, with the postal code 29678.

What is the Joyce Vissage's specialty and taxonomy code?

The Joyce Vissage's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1124091657 to Joyce Vissage?

The Centers for Medicare & Medicaid Services originally issued the 1124091657 to Joyce Vissage on 2006-02-07.

As of what date was the information pertaining to Joyce Vissage, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Joyce Vissage, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-06-21.

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