Unknown Individual – Family Medicine Physician, NPI 1225199334
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5052 RED BUD DR
GROVETOWN, GA 308134404
Phone: (706) 550-0094
Type: Mailing
Fort Gordon, Augusta, Richmond County, Georgia, 30905, United States
DWIGHT D EISENHOWER ARMY MEDICAL CENTER
FT GORDON, GA 309055650
Phone: (706) 787-2720
Fax: (706) 787-8176
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 30813)
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