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NPI Code Detail

MEDICARE: DR. JOANNE UYECIO GAW M.D.

MEDICARE: DR. JOANNE UYECIO GAW 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 Physician053529GA

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 : 1417948308
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOANNE UYECIO GAW M.D.
Provider Business Mailing Address
First Line : 101 DOCTORS DR
Second Line :
City : CARROLLTON
State : GA
Zip : 30117-4486
Country : US
Telephone Number : 770-834-6208
Fax Number : 770-830-7620
Provider Business Practice Location Address
First Line : 101 DOCTORS DR
Second Line :
City : CARROLLTON
State : GA
Zip : 30117-4486
Country : US
Telephone Number : 770-834-6208
Fax Number : 770-830-7620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 11/21/2011

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