Nakano, Phillip Hiroto

Nakano, Phillip Hiroto is an individual health care provider with primary practice located at 3096 Peachtree Industrial Blvd , Duluth GA 30097-7918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Nakano, Phillip Hiroto can be contacted via phone (770) 495-1477.

Contact Information

Primary practice address
3096 Peachtree Industrial Blvd Duluth GA 30097-7918
Phone: (770) 495-1477
Fax: (770) 495-1488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 024310 Georgia

Profile Details

NPI number 1962502252
LBN Legal business name Nakano, Phillip Hiroto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1962502252 NPPES
Georgia Other 52026987 BCBS
Georgia MEDICAID 00486351A BCBS
Georgia Other 686583 BCBS

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