Unknown Individual – Specialist, NPI 1740283928
Specialist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Dunlap Drive, Gainesville, Hall County, Georgia, United States of America
GAINESVILLE, GA 305061648
Phone: (770) 536-1505
Fax: (770) 297-5023
Type: Mailing
Jesse Jewell Parkway Southeast, Gainesville, Hall County, Georgia, 30501, United States of America
STE 500
GAINESVILLE, GA 305013861
Phone: (770) 287-0031
Fax: (770) 297-5023
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 30506)
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