Unknown Individual – Internal Medicine Physician, NPI 1679553259
Internal Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
911, Plaza Avenue, Eastman, Dodge County, Georgia, 31023, United States
SUITE E.
EASTMAN, GA 310236785
Phone: (478) 374-4784
Fax: (478) 374-0221
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31023)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | GA | 17003 | Destruction of 2-14 skin growths | 97 | 20 |
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