1851419188 NPI number — MRS. ALZIRENE CAMPOS FAUBION M.A.

Table of content: MRS. ALZIRENE CAMPOS FAUBION M.A. (NPI 1851419188)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851419188 NPI number — MRS. ALZIRENE CAMPOS FAUBION M.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FAUBION
Provider First Name:
ALZIRENE
Provider Middle Name:
CAMPOS
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A.
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:
1851419188
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/30/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
105 GOVERNORS SQ
Provider Second Line Business Mailing Address:
SUITE 602
Provider Business Mailing Address City Name:
PEACHTREE CITY
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30269-4866
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
678-925-3306
Provider Business Mailing Address Fax Number:
678-985-4855

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
105 GOVERNORS SQ
Provider Second Line Business Practice Location Address:
SUITE 602
Provider Business Practice Location Address City Name:
PEACHTREE CITY
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30269-4866
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-925-3306
Provider Business Practice Location Address Fax Number:
678-985-4855
Provider Enumeration Date:
03/26/2007

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: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101Y00000X , with the licence number: LPC006470 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YP2500X , with the licence number: LPC006470-APT-T-1972 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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