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General NPI Number Information
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NPI Number | 1700010394
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Entity Type | Individual
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Provider Name | MICHAEL DREW HONAKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 600 MOYE BLVD STE 4S-24
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City | GREENVILLE
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State | NC
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Zip | 27834-4300
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Country | US
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Telephone | 252-744-4110
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Fax |
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Provider Business Mailing Address
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Address Line | 800 1ST ST STE 240
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City | MACON
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State | GA
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Zip | 31201-8300
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Country | US
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Telephone | 478-633-6900
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Fax | 478-633-2175
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 074466
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2020-04575
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 074466
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 2020-04575
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License Number State | NC
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