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1871270355 NPI number — CHARLES ALVIN ALDAY JR. PA

NPI Number: 1871270355
Health Care Provider/Practitioner: CHARLES ALVIN ALDAY JR. PA

Information about “1871270355” NPI (CHARLES ALVIN ALDAY JR. PA) exists in 1871270355 in HTML format HTML  |  1871270355 in plain Text format TXT  |  1871270355 in PDF (Portable Document Format) PDF  |  1871270355 in an XML format XML  formats.

NPI Number : 1871270355 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871270355",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALDAY",
    "FirstName": "CHARLES",
    "MiddleName": "ALVIN",
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": "PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3334 CAPITAL MEDICAL BLVD STE 400",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TALLAHASSEE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32308-4470",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-877-8174",
    "MailingAddressFaxNumber": "844-261-6839",
    "FirstLinePracticeLocationAddress": "113 W HANSELL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "THOMASVILLE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31792-6664",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "229-226-3060",
    "PracticeLocationAddressFaxNumber": "855-460-8658",
    "EnumerationDate": "06/28/2023",
    "LastUpdateDate": "06/28/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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