Unknown Individual – Family Medicine Physician, NPI 1063415768
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
69, I 64, Lexington, Scott County, Kentucky, 40347, United States
LEXINGTON, GA 306480069
Phone: (706) 743-8183
Fax: (706) 743-3233
Type: Mailing
Athens Road, Lexington, Oglethorpe County, Georgia, United States
LEXINGTON, GA 306481908
Phone: (706) 743-8183
Fax: (706) 743-3233
Type: Location
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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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30648)
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