Gregory M Deedrick in Macon - Anesthesiologist Assistant
Gregory M Deedrick - NPI 1750502662
Gregory M Deedrick is a Anesthesiologist Assistant in Macon, Georgia. Gregory M Deedrick practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Gregory M Deedrick is 1750502662. The last update date is 2014-11-21.
Gregory M Deedrick's current location address is 777 Hemlock St, Macon, Georgia. You can contact this provider via phone number 8665075244 and fax number 8558514405. The mailing address for Gregory M Deedrick is 777 Hemlock St, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory M Deedrick |
|---|---|
| Address | 777 Hemlock St, Macon, Georgia |
| Phone Number | 8665075244 |
| Fax Number | 8558514405 |
| Sole Proprietor | N |
| Credentials | PA-AA |
NPI Number Detail
| NPI Number | 1750502662 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2014-11-21 |
Provider Mailing Address Detail
| Address | 777 Hemlock St |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312012102 |
| Phone Number | 8665075244 |
| Fax Number | 8558514405 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiologist Assistant |
|---|---|
| Taxonomy | 367H00000X |
| Licence No | 3888 |
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Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesth |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100002399A | GA | -- | |
| 344300 | GA | WELLCARE CMO - MCCG | |
| 97WCDNQ | GA | MEDICARE PTAN | |
| 100002399A | GA | PEACHSTATE CMO - MCCG | |
| 430079677 | GA | RAILROAD MCR - MCCG |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gregory M Deedrick by the Centers for Medicare & Medicaid Services?
The Gregory M Deedrick has been issued the NPI (National Provider Identifier) 1750502662 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Gregory M Deedrick is physically located?
The Gregory M Deedrick is situated at the following address: 777 Hemlock St, Macon, GA 312012102.
What is the Gregory M Deedrick's area of specialization and corresponding taxonomy classification?
The Gregory M Deedrick's specialty field is Anesthesiologist Assistant, and it falls under the taxonomy code 367H00000X, which categorizes healthcare providers based on their specialties.
When did the Gregory M Deedrick receive its 1750502662?
The Gregory M Deedrick was issued its 1750502662 on 2007-05-01, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Gregory M Deedrick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gregory M Deedrick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-11-21.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC