Eniki A Mack in Gainesville - Endocrinology, Diabetes & Metabolism

Eniki A Mack - NPI 1730307927

Eniki A Mack is a Endocrinology, Diabetes & Metabolism in Gainesville, Georgia. Eniki A Mack practices all healthcare services and medical treatments related to Endocrinology, Diabetes & Metabolism. The NPI Number for Eniki A Mack is 1730307927. The last update date is 2020-09-14.

Eniki A Mack's current location address is 1240 Jesse Jewell Pkwy Se, Gainesville, Georgia. You can contact this provider via phone number 7705369864. The mailing address for Eniki A Mack is 1240 Jesse Jewell Pkwy Se, Gainesville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Eniki A Mack
Address 1240 Jesse Jewell Pkwy Se, Gainesville, Georgia
Phone Number 7705369864
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1730307927
Provider Enumeration Date 2007-04-23
Last Updated Date 2020-09-14

Provider Mailing Address Detail

Address 1240 Jesse Jewell Pkwy Se
City Gainesville
State Georgia (GA)
Post Code 305013862
Phone Number 7705369864
Fax Number

Provider's Primary Taxonomy Detail

Speciality Endocrinology, Diabetes & Metabolism
Taxonomy 207Re0101X
Licence No 64410
Definition:
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and men

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12099189 CAQH

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FAQs about Eniki A Mack

What is the unique identification code assigned to Eniki A Mack by the Centers for Medicare & Medicaid Services?

The Eniki A Mack has been issued the NPI (National Provider Identifier) 1730307927. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Eniki A Mack?

The Eniki A Mack is physically situated at 1240 Jesse Jewell Pkwy Se, in the city of Gainesville, state of GA, with the postal code 305013862.

What is Eniki A Mack's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Eniki A Mack is Endocrinology, Diabetes & Metabolism, and the taxonomy code that categorizes this field of expertise is 207Re0101X.

On what date was the 1730307927 assigned to Eniki A Mack?

The Eniki A Mack was issued its 1730307927 on 2007-04-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Eniki A Mack's details last updated?

The information pertaining to the Eniki A Mack, including its address, specialty, and other details, was most recently updated on 2020-09-14.

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