Glenn Banegura in Lilburn - Internal Medicine
Glenn Banegura - NPI 1770744989
Glenn Banegura is a Internal Medicine in Lilburn, Georgia. Glenn Banegura practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Glenn Banegura is 1770744989. The last update date is 2023-11-10.
Glenn Banegura's current location address is 375 Rockbridge Rd Nw Ste 172-121, Lilburn, Georgia. You can contact this provider via phone number 6179016120. The mailing address for Glenn Banegura is 375 Rockbridge Rd Nw Ste 172-121, Lilburn, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Banegura |
|---|---|
| Address | 375 Rockbridge Rd Nw Ste 172-121, Lilburn, Georgia |
| Phone Number | 6179016120 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770744989 |
|---|---|
| Provider Enumeration Date | 2008-06-19 |
| Last Updated Date | 2023-11-10 |
Provider Mailing Address Detail
| Address | 375 Rockbridge Rd Nw Ste 172-121 |
|---|---|
| City | Lilburn |
| State | Georgia (GA) |
| Post Code | 300478225 |
| Phone Number | 6179016120 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 67897 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 340027 | SC | -- | |
| SCB3975019 | SC | MEDICARE PIN | |
| SCB3979068 | SC | MEDICARE PIN |
Post Comment/ Review Below
What is the unique identifier code issued to Glenn Banegura by the Centers for Medicare & Medicaid Services (CMS)?
The Glenn Banegura has been assigned the NPI (National Provider Identifier) 1770744989. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Glenn Banegura's physical address?
The Glenn Banegura is physically located at 375 Rockbridge Rd Nw Ste 172-121, in the city of Lilburn, GA, with the postal code 300478225.
What is Glenn Banegura's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Glenn Banegura is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
When did the Glenn Banegura receive its 1770744989?
The Glenn Banegura was issued its 1770744989 on 2008-06-19, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Glenn Banegura most recently updated or revised?
The information pertaining to Glenn Banegura, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-10.
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