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1386090637 NPI number — AARON M. FLETCHER MD PC

NPI Number: 1386090637
Health Care Provider/Practitioner: AARON M. FLETCHER MD PC

Information about “1386090637” NPI (AARON M. FLETCHER MD PC) exists in 1386090637 in HTML format HTML  |  1386090637 in plain Text format TXT  |  1386090637 in PDF (Portable Document Format) PDF  |  1386090637 in an XML format XML  formats.

NPI Number : 1386090637 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386090637",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AARON M. FLETCHER MD PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1106 HOSPITAL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STOCKBRIDGE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30281-6381",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-902-9495",
    "MailingAddressFaxNumber": "678-815-1548",
    "FirstLinePracticeLocationAddress": "1106 HOSPITAL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STOCKBRIDGE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30281-6381",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-902-9495",
    "PracticeLocationAddressFaxNumber": "678-815-1548",
    "EnumerationDate": "05/05/2016",
    "LastUpdateDate": "09/13/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FLETCHER",
    "AuthorizedOfficialFirstName": "AARON",
    "AuthorizedOfficialMiddleName": "MICHAEL",
    "AuthorizedOfficialTitle": "OWNER/PROVIDER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "678-902-9495",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Y00000X",
        "TaxonomyName": "Otolaryngology Physician",
        "LicenseNumber": "72750",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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