Dr. Fabio Katureebe Banegura
Family Doctor - Adult Medicine
4124 Highway 278 Ne
Covington
, Georgia 30014-2494
Dr. Fabio Katureebe Banegura
Family Doctor - Adult Medicine
4124 Highway 278 Ne
Covington
, Georgia 30014-2494
(770) 786-5000
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Fabio Katureebe Banegura
- 4124 Highway 278 Ne
- Covington, GA
- Zip : 30014-2494
- Phone : (770) 786-5000
Second Address
- Dr. Fabio Katureebe Banegura
- 4124 Highway 278 Ne
- Covington, GA
- Zip : 30014-2494
- Phone : (770) 786-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 021447 | GA |
National Provider Identifier
| NPI | 1114066602 |
|---|---|
| Provider Name | Dr. Fabio Katureebe Banegura |
| First Address | Covington, GA 30014-2494 |
| Second Address | Covington, GA 30014-2494 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| BB0398582 | DEA# (01) | GA |
| D7618 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.