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Physician Compare National (NPI:1972910339)

HEALTHCARE PROVIDER: GRIFFEN TAYLOR ALLAN GEORGE M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1972910339
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2466719778
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20190805002667
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GEORGE
Individual professional last name
Provider First Name GRIFFEN
Individual professional first name
Provider Middle Name TAYLOR ALLAN
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2014
Individual professional's medical school graduation year
Primary Specialty INFECTIOUS DISEASE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name METRO INFECTIOUS DISEASE CONSULTANTS LLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 3072425784
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 208
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 7444 HANNOVER PKWY S
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 210
Group Practice or individual's line 2 address
City STOCKBRIDGE
Group Practice or individual's city
State GA
Group Practice or individual's state
Zip Code 302817847
Group Practice or individual's zip code (9 digits when available)
Phone Number 8774483627
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 110191
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 PIEDMONT HENRY HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 110165
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 SOUTHERN REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 110215
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 PIEDMONT FAYETTE HOSPITAL
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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