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NPI Code Detail

MEDICARE: HERBERT EUGENE FLYNN MD

MEDICARE: HERBERT EUGENE FLYNN 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 Physician52929GA

General Provider Information

NPI Number : 1821046814
Entity Type Code : Individual
Provider Name (Legal Business Name) : HERBERT EUGENE FLYNN MD
Provider Business Mailing Address
First Line : 3211 SHANNON RD
Second Line : SUITE 300
City : DURHAM
State : NC
Zip : 27707-6322
Country : US
Telephone Number : 800-291-4020
Fax Number : 919-419-7247
Provider Business Practice Location Address
First Line : 2855 OLD HIGHWAY 5
Second Line :
City : BLUE RIDGE
State : GA
Zip : 30513-6248
Country : US
Telephone Number : 800-291-4020
Fax Number : 919-419-7247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 07/26/2007

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Directions to “ HERBERT EUGENE FLYNN MD” Practice Location

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