Segall, Nathan
Segall, Nathan is an individual health care provider with primary practice located at 175 Country Club Dr 100A , Stockbridge GA 30281-7380. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Segall, Nathan can be contacted via phone (770) 507-0707.Contact Information
Primary practice address
175 Country Club Dr 100A
Stockbridge GA 30281-7380
Phone: (770) 507-0707
Fax: (770) 507-1539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | 020602 | Georgia |
Profile Details
| NPI number | 1619982444 |
|---|---|
| LBN Legal business name | Segall, Nathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Sep 18th, 2015 - about 9 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 | 1619982444 | NPPES |
| Georgia | MEDICAID | 000219161E |
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