John Penuel is a Specialist in Norcross, Georgia. John Penuel practices all healthcare services and medical treatments related to Specialist. The NPI Number for John Penuel is 1285633842. The last update date is 2023-03-07.
John Penuel's current location address is 1854 Shackleford Ct, Norcross, Georgia. You can contact this provider via phone number 7706883801 and fax number 7702376148. The mailing address for John Penuel is 1854 Shackleford Ct, Norcross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Penuel |
|---|---|
| Address | 1854 Shackleford Ct, Norcross, Georgia |
| Phone Number | 7706883801 |
| Fax Number | 7702376148 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285633842 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1854 Shackleford Ct |
|---|---|
| City | Norcross |
| State | Georgia (GA) |
| Post Code | 300932954 |
| Phone Number | 7706883801 |
| Fax Number | 7702376148 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 9900983 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00926483D | GA | -- | |
| 48926 | GA | LICENSE | |
| 581593676 | GA | TAX IDENTIFICATION | |
| P00991552 | GA | RR MEDICARE |
Post Comment/ Review Below
What is the John Penuel's unique identification number?
The John Penuel has been assigned the NPI (National Provider Identifier) Number 1285633842 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where John Penuel is physically located?
The John Penuel is situated at the following address: 1854 Shackleford Ct, Norcross, GA 300932954.
What is John Penuel's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Penuel is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
When did John Penuel receive its 1285633842 assignment?
The John Penuel was assigned its 1285633842 on 2005-07-18, which is the date when this unique identifier was issued to the organization.
When was the information regarding John Penuel, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John Penuel, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.