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NPI Code Detail

MEDICARE: DR. JOSEPH FRANK PENSABENE MD

MEDICARE: DR. JOSEPH FRANK PENSABENE MD
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
1207RC0000XCardiovascular Disease Physician066304GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427157114
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH FRANK PENSABENE MD
Provider Business Mailing Address
First Line : PO BOX 925
Second Line :
City : AUGUSTA
State : GA
Zip : 30903-0925
Country : US
Telephone Number : 706-724-8611
Fax Number : 706-724-6202
Provider Business Practice Location Address
First Line : 1348 WALTON WAY STE 5100
Second Line :
City : AUGUSTA
State : GA
Zip : 30901-5108
Country : US
Telephone Number : 706-724-8611
Fax Number : 706-724-6202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 07/21/2022

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Directions to “ DR. JOSEPH FRANK PENSABENE MD” Practice Location

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