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NPI Code Detail

MEDICARE: DR. LOUIS PETER FUERSTMAN MD

MEDICARE:  DR. LOUIS PETER FUERSTMAN  MD
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
1207P00000XEmergency Medicine Physician024939GA
2208000000XPediatrics Physician24939GA

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 : 1558398438
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUIS PETER FUERSTMAN MD
Provider Business Mailing Address
First Line : 2680 MILLWOOD CT
Second Line :
City : DECATUR
State : GA
Zip : 30033-2430
Country : US
Telephone Number : 770-621-9619
Fax Number :
Provider Business Practice Location Address
First Line : 196 RIDGECREST CIR
Second Line :
City : CLAYTON
State : GA
Zip : 30525-4111
Country : US
Telephone Number : 706-782-4233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 02/19/2020

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Directions to “ DR. LOUIS PETER FUERSTMAN MD” Practice Location

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