Mucciarone, Xenophon
Mucciarone, Xenophon is an individual health care provider with primary practice located at 300 N Patterson St , Valdosta GA 31601-5519. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mucciarone, Xenophon can be contacted via phone (229) 433-1000.Contact Information
Primary practice address
300 N Patterson St
Valdosta GA 31601-5519
Phone: (229) 433-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | R9113 | Texas |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 5101021037 | Michigan |
Profile Details
NPI number | 1801216007 |
---|---|
LBN Legal business name | Mucciarone, Xenophon |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2014 |
Last updated | Aug 19th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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