Leonard Davey Deramus in Athens - Physician Assistant
Leonard Davey Deramus - NPI 1073598645
Leonard Davey Deramus is a Physician Assistant in Athens, Georgia. Leonard Davey Deramus practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Leonard Davey Deramus is 1073598645. The last update date is 2013-01-16.
Leonard Davey Deramus's current location address is 55 Carlton St, Athens, Georgia. You can contact this provider via phone number 7065428609. The mailing address for Leonard Davey Deramus is 55 Carlton St, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leonard Davey Deramus |
|---|---|
| Address | 55 Carlton St, Athens, Georgia |
| Phone Number | 7065428609 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1073598645 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2013-01-16 |
Provider Mailing Address Detail
| Address | 55 Carlton St |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306021503 |
| Phone Number | 7065428609 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1541 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000261093B | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Leonard Davey Deramus by the Centers for Medicare & Medicaid Services?
The Leonard Davey Deramus has been assigned the NPI (National Provider Identifier) 1073598645. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Leonard Davey Deramus is geographically located?
The Leonard Davey Deramus is physically situated at the following location: 55 Carlton St, Athens, GA, 306021503.
What is the Leonard Davey Deramus's specialty and taxonomy code?
The Leonard Davey Deramus's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1073598645 assigned to Leonard Davey Deramus?
The Leonard Davey Deramus was issued its 1073598645 on 2005-12-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Leonard Davey Deramus, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leonard Davey Deramus, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-01-16.
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