PENN TECK DIAGNOSTICS INC NPI 1326139627

NPI Information

NPI: 1326139627
Provider Name: PENN TECK DIAGNOSTICS INC
Classification: Nuclear Medicine - 207UN0901X
Entity Type: Organization

Specialization: Nuclear Cardiology

Address:
820 ST. SEBASTIAN WAY,
SUITE 2B
AUGUSTA, GA
ZIP 30901
Phone: (706) 722-6612
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PENN TECK DIAGNOSTICS INC is a nuclear cardiology nuclear medicine in Augusta, GA. The provider is a nuclear medicine physician who specializes in nuclear cardiology. PENN TECK DIAGNOSTICS INC NPI is 1326139627. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

820 ST. SEBASTIAN WAY,
SUITE 2B
AUGUSTA, GA
ZIP 30901
Phone: (706) 722-6612
Fax: (706) 722-5057

The provider's authorized official is Weems R Pennington .
The authorized official title is President and has the following contact phone number (706) 722-6612.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 5/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207UN0901X	Nuclear Medicine	Nuclear Cardiology	014977	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00094179C	MEDICAID	GEORGIA
2	4963	MEDICARE PIN	SOUTH CAROLINA
3	D83378	MEDICARE UPIN
4	GRP1677	MEDICARE PIN	GEORGIA
5	GPA518	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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