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NPI Code Detail

MEDICARE: JEFFREY T NUGENT, MD., P.C.

MEDICARE: JEFFREY T NUGENT, MD., P.C.
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
1207X00000XOrthopaedic Surgery Physician012536GA

General Provider Information

NPI Number : 1841371580
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFREY T NUGENT, MD., P.C.
Provider Business Mailing Address
First Line : PO BOX 102847
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2847
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 105 COLLIER RD NW
Second Line : STE 2010
City : ATLANTA
State : GA
Zip : 30309-1710
Country : US
Telephone Number : 404-367-1404
Fax Number :
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : JENNIFER TARDIF
Credential :
Telephone Number : 770-801-2526
Provider Enumeration Date : 10/18/2006
Last Update Date : 08/22/2020

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