1821135872 NPI number — DR. CEFERINA VILLAPANDO REYES M.D.

Table of content: DR. CEFERINA VILLAPANDO REYES M.D. (NPI 1821135872)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821135872 NPI number — DR. CEFERINA VILLAPANDO REYES M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REYES
Provider First Name:
CEFERINA
Provider Middle Name:
VILLAPANDO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821135872
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1378
Provider Second Line Business Mailing Address:
PATIENT BILLING DEPT
Provider Business Mailing Address City Name:
THOMASVILLE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31799-1378
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
229-227-2977
Provider Business Mailing Address Fax Number:
229-227-2955

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 S PINETREE BLVD
Provider Second Line Business Practice Location Address:
PATIENT BILLING DEPT
Provider Business Practice Location Address City Name:
THOMASVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31792-7128
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
229-227-2977
Provider Business Practice Location Address Fax Number:
229-227-2955
Provider Enumeration Date:
01/31/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  027641 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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