Mack, Joseph Michael
Mack, Joseph Michael is an individual health care provider with primary practice located at 200 W Academy Street , Gainesville GA 30501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mack, Joseph Michael can be contacted via phone (770) 282-8820.Contact Information
Primary practice address
200 W Academy Street
Gainesville GA 30501
Phone: (770) 282-8820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 13504 | New Hampshire |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A82298 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD431705 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 58275 | Georgia |
Profile Details
| NPI number | 1467439745 |
|---|---|
| LBN Legal business name | Mack, Joseph Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Jan 13th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467439745 | NPPES |
| Georgia | MEDICAID | 453088873P |
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