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NPI Code Detail

MEDICARE: DR. ERIC E. JENSEN M.D.

MEDICARE:  DR. ERIC E. JENSEN  M.D.
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
1207R00000XInternal Medicine Physician50304GA

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 : 1235136052
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC E. JENSEN M.D.
Provider Business Mailing Address
First Line : 914 VISTA DRIVE
Second Line :
City : DALTON
State : GA
Zip : 30721-8654
Country : US
Telephone Number : 706-226-3139
Fax Number : 706-278-6606
Provider Business Practice Location Address
First Line : 914 VISTA DRIVE
Second Line :
City : DALTON
State : GA
Zip : 30721-8654
Country : US
Telephone Number : 706-226-3139
Fax Number : 706-278-6606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 08/19/2024

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Directions to “ DR. ERIC E. JENSEN M.D.” Practice Location

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