Dr. John David Northup
Gastroenterologist
12345 Mercy Blvd
Savannah
, Georgia 31419-3436
Dr. John David Northup
Gastroenterologist
12345 Mercy Blvd
Savannah
, Georgia 31419-3436
(912) 925-0597
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. John David Northup
- 12345 Mercy Blvd
- Savannah, GA
- Zip : 31419-3436
- Fax : (912) 925-0597
- Phone : (912) 927-3046
Second Address
- Dr. John David Northup
- 12345 Mercy Blvd
- Savannah, GA
- Zip : 31419-3436
- Fax : (912) 925-0597
- Phone : (912) 927-3046
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 016651 | GA |
National Provider Identifier
| NPI | 1023232527 |
|---|---|
| Provider Name | Dr. John David Northup |
| First Address | Savannah, GA 31419-3436 |
| Second Address | Savannah, GA 31419-3436 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2007 |
| Last Update Date | 03/01/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000018092A | (05) | GA |
| 110164346 | RAILROAD MEDICARE (01) | GA |
| 581263266 | UNITED HEALTHCARE (01) | GA |
| D40770 | (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.