Heritage Medical Group, Pc in Mcdonough - Adult Health
Heritage Medical Group, Pc - NPI 1356526305
Heritage Medical Group, Pc is a Adult Health in Mcdonough, Georgia. Heritage Medical Group, Pc practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Heritage Medical Group, Pc is 1356526305. The last update date is 2023-03-07.
Heritage Medical Group, Pc's current location address is 1010 Pennsylvania Avenue, Mcdonough, Georgia. You can contact this provider via phone number 7702883883 and fax number 7702883885. The mailing address for Heritage Medical Group, Pc is 1010 Pennsylvania Avenue, Mcdonough, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heritage Medical Group, Pc |
|---|---|
| Address | 1010 Pennsylvania Avenue, Mcdonough, Georgia |
| Phone Number | 7702883883 |
| Fax Number | 7702883885 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Osinuga Adisa Oladayo |
| Credentials | MD |
| Telephone Number | 7702883883 |
NPI Number Detail
| NPI Number | 1356526305 |
|---|---|
| Provider Enumeration Date | 2008-01-08 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1010 Pennsylvania Avenue |
|---|---|
| City | Mcdonough |
| State | Georgia (GA) |
| Post Code | 30253 |
| Phone Number | 7702883883 |
| Fax Number | 7702883885 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | RN178172NP |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
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What is the unique 10-digit identifier code assigned to Heritage Medical Group, Pc by the Centers for Medicare & Medicaid Services?
The Heritage Medical Group, Pc has been issued the NPI (National Provider Identifier) 1356526305 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Heritage Medical Group, Pc located?
The Heritage Medical Group, Pc is located at 1010 Pennsylvania Avenue, Mcdonough, GA 30253.
What is Heritage Medical Group, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Heritage Medical Group, Pc's area of specialization is Adult Health, and the corresponding taxonomy code that categorizes this field of practice is 363La2200X.
When did the Heritage Medical Group, Pc receive its 1356526305?
The Heritage Medical Group, Pc was issued its 1356526305 on 2008-01-08, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Heritage Medical Group, Pc last refreshed?
The information related to the Heritage Medical Group, Pc, including its address, specialty, and other relevant details, was last updated on 2023-03-07.
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