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NPI Code Detail

MEDICARE: HON MEDICAL GROUP, PC

MEDICARE: HON MEDICAL GROUP, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician040102GA

General Provider Information

NPI Number : 1144491663
Entity Type Code : Organization
Provider Name (Legal Business Name) : HON MEDICAL GROUP, PC
Provider Business Mailing Address
First Line : 2172 HUNTERS GREEN DR
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30043-5185
Country : US
Telephone Number : 770-995-4995
Fax Number :
Provider Business Practice Location Address
First Line : 196 RIDGECREST CIR
Second Line :
City : CLAYTON
State : GA
Zip : 30525-4111
Country : US
Telephone Number : 770-883-8139
Fax Number :
Authorized Official
Title or Position : CEO
Name : DAVID C HON
Credential : MD
Telephone Number : 770-995-4995
Provider Enumeration Date : 03/13/2008
Last Update Date : 03/13/2008

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