Gathline Etienne in Newnan - Student In An Organized Health Care Education/training Program
Gathline Etienne - NPI 1366602005
Gathline Etienne is a Student In An Organized Health Care Education/training Program in Newnan, Georgia. Gathline Etienne practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Gathline Etienne is 1366602005. The last update date is 2016-07-06.
Gathline Etienne's current location address is 1741 Newnan Crossing Blvd E Ste G, Newnan, Georgia. You can contact this provider via phone number 6786333500. The mailing address for Gathline Etienne is 1741 Newnan Crossing Blvd E Ste G, Newnan, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gathline Etienne |
|---|---|
| Address | 1741 Newnan Crossing Blvd E Ste G, Newnan, Georgia |
| Phone Number | 6786333500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366602005 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2016-07-06 |
Provider Mailing Address Detail
| Address | 1741 Newnan Crossing Blvd E Ste G |
|---|---|
| City | Newnan |
| State | Georgia (GA) |
| Post Code | 302656601 |
| Phone Number | 6786333500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
| Licence No | TRN12101 |
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Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gathline Etienne by the Centers for Medicare & Medicaid Services?
The Gathline Etienne has been issued the NPI (National Provider Identifier) 1366602005, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gathline Etienne?
The Gathline Etienne is situated at 1741 Newnan Crossing Blvd E Ste G, in the city of Newnan, state of GA, with the zip code 302656601.
What is Gathline Etienne's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gathline Etienne's area of specialization is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this field of practice is 390200000X.
On what date did the Gathline Etienne receive its 1366602005 assignment from the Centers for Medicare & Medicaid Services?
The Gathline Etienne was assigned its 1366602005 by the Centers for Medicare & Medicaid Services on 2008-06-16.
As of what date were the Gathline Etienne's details last updated?
The information pertaining to the Gathline Etienne, including its address, specialty, and other details, was most recently updated on 2016-07-06.