NPI Code Details Logo

NPI 1942664701

NPI 1942664701 : SETH FRANCIS EINTERZ M.D. : ROME, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1942664701
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SETH FRANCIS EINTERZ M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/07/2016
-----------------------------------------------------
    Last Update Date     |    09/09/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    304 SHORTER AVE NW STE 201 
-----------------------------------------------------
    City                 |    ROME
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30165-4256
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    706-509-3300
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    420 E 2ND AVE STE 103 
-----------------------------------------------------
    City                 |    ROME
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30161-3210
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    706-509-3278
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    65893
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    A160814
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    MD187402
-----------------------------------------------------
    License Number State |    OR
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    95030
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.