Georgetown Family Medicine in Georgetown - Physician Assistant

Georgetown Family Medicine - NPI 1225173149

Georgetown Family Medicine is a Physician Assistant in Georgetown, Delaware. Georgetown Family Medicine practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Georgetown Family Medicine is 1225173149. The last update date is 2010-06-28.

Georgetown Family Medicine's current location address is 201 W Market St, Georgetown, Delaware. You can contact this provider via phone number 3028563171 and fax number 3028562330. The mailing address for Georgetown Family Medicine is 201 W Market St, Georgetown, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Organization Georgetown Family Medicine
Address 201 W Market St, Georgetown, Delaware
Phone Number 3028563171
Fax Number 3028562330
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Davis Scot Ryan
Telephone Number 3028563171

NPI Number Detail

NPI Number 1225173149
Provider Enumeration Date 2007-02-20
Last Updated Date 2010-06-28

Provider Mailing Address Detail

Address 201 W Market St
City Georgetown
State Delaware (DE)
Post Code 199471440
Phone Number 3028563171
Fax Number 3028562330

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No C5-00000702
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1044304 DE --
G00438 DE PETAN

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FAQs about Georgetown Family Medicine

What is the unique 10-digit identification code issued to Georgetown Family Medicine by the Centers for Medicare & Medicaid Services?

The Georgetown Family Medicine has been assigned the NPI (National Provider Identifier) 1225173149 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Georgetown Family Medicine is physically located?

The Georgetown Family Medicine is situated at the following address: 201 W Market St, Georgetown, DE 199471440.

What is the area of specialization for Georgetown Family Medicine, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Georgetown Family Medicine is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1225173149 to Georgetown Family Medicine?

The Centers for Medicare & Medicaid Services originally issued the 1225173149 to Georgetown Family Medicine on 2007-02-20.

When was the Georgetown Family Medicine's information last updated?

The Georgetown Family Medicine's information was last updated on 2010-06-28.

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