Mcintosh, Abraham Steven

Mcintosh, Abraham Steven is an individual health care provider with primary practice located at 1269 Wellbrook Cir Ne , Conyers GA 30012-3873. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mcintosh, Abraham Steven can be contacted via phone (770) 922-0505.

Contact Information

Primary practice address
1269 Wellbrook Cir Ne Conyers GA 30012-3873
Fax: (770) 922-1870
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 46667 Georgia

Profile Details

NPI number 1164448452
LBN Legal business name Mcintosh, Abraham Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated May 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164448452 NPPES
Georgia MEDICAID 00885398B

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