John Michael Dorough in Saint Simons Island - Anesthesiologist Assistant
John Michael Dorough - NPI 1063460236
John Michael Dorough is a Anesthesiologist Assistant in Saint Simons Island, Georgia. John Michael Dorough practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for John Michael Dorough is 1063460236. The last update date is 2013-07-31.
John Michael Dorough's current location address is 161 Raymonds Grant Trce, Saint Simons Island, Georgia. You can contact this provider via phone number 9126389734. The mailing address for John Michael Dorough is 161 Raymonds Grant Trce, Saint Simons Island, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Michael Dorough |
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Address | 161 Raymonds Grant Trce, Saint Simons Island, Georgia |
Phone Number | 9126389734 |
Fax Number | |
Sole Proprietor | N |
Credentials | AA |
NPI Number Detail
NPI Number | 1063460236 |
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Provider Enumeration Date | 2006-05-04 |
Last Updated Date | 2013-07-31 |
Provider Mailing Address Detail
Address | 161 Raymonds Grant Trce |
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City | Saint Simons Island |
State | Georgia (GA) |
Post Code | 315225393 |
Phone Number | 9126389734 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Anesthesiologist Assistant |
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Taxonomy | 367H00000X |
Licence No | AA91 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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100001809A | GA | -- | |
100001811B | GA | -- | |
P00410144 | GA | RRB |
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What is the unique 10-digit identification code issued to John Michael Dorough by the Centers for Medicare & Medicaid Services?
The John Michael Dorough has been assigned the NPI (National Provider Identifier) 1063460236 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 John Michael Dorough is physically located?
The John Michael Dorough is situated at the following address: 161 Raymonds Grant Trce, Saint Simons Island, GA 315225393.
What is John Michael Dorough's area of expertise and its corresponding taxonomy classification?
The John Michael Dorough's field of specialization is Anesthesiologist Assistant, and it falls under the taxonomy code 367H00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1063460236 to John Michael Dorough?
The John Michael Dorough received its 1063460236 assignment from the Centers for Medicare & Medicaid Services on 2006-05-04.
When was the information related to John Michael Dorough most recently updated or refreshed?
The details pertaining to the John Michael Dorough, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-07-31.
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