John Joe Pena in Fort Benning - Medical

John Joe Pena - NPI 1700885373

John Joe Pena is a Medical in Fort Benning, Georgia. John Joe Pena practices all healthcare services and medical treatments related to Medical. The NPI Number for John Joe Pena is 1700885373. The last update date is 2015-02-28.

John Joe Pena's current location address is 7950 Martin Loop, Fort Benning, Georgia. You can contact this provider via phone number 7065441833. The mailing address for John Joe Pena is 7950 Martin Loop, Fort Benning, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name John Joe Pena
Address 7950 Martin Loop, Fort Benning, Georgia
Phone Number 7065441833
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1700885373
Provider Enumeration Date 2005-07-18
Last Updated Date 2015-02-28

Provider Mailing Address Detail

Address 7950 Martin Loop
City Fort Benning
State Georgia (GA)
Post Code 3190556470
Phone Number 7065441833
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1063193
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about John Joe Pena

What is the John Joe Pena's 1700885373?

The John Joe Pena's NPI (National Provider Identifier) Number is 1700885373. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the John Joe Pena located?

The John Joe Pena is located at 7950 Martin Loop, Fort Benning, GA 3190556470.

What is the area of specialization for John Joe Pena, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John Joe Pena is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1700885373 to John Joe Pena?

The Centers for Medicare & Medicaid Services assigned the 1700885373 to John Joe Pena on 2005-07-18.

As of what date was the information regarding John Joe Pena, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Joe Pena, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-02-28.

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