MEDICARE: DR. JOHN R EHRET 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
1	207R00000X	Internal Medicine Physician	046847	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760470124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN R EHRET M.D.

Provider Business Mailing Address
First Line	:	PO BOX 102321
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-2321
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4181 HOSPITAL DR NE STE 401
Second Line	:
City	:	COVINGTON
State	:	GA
Zip	:	30014-2541
Country	:	US
Telephone Number	:	678-342-8660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	10/07/2021

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Directions to “ DR. JOHN R EHRET M.D.” Practice Location

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