Nathan Segall
Internist - Allergy & Immunology
175 Country Club Dr 100a
Stockbridge
, Georgia 30281-7380
Nathan Segall
Internist - Allergy & Immunology
175 Country Club Dr 100a
Stockbridge
, Georgia 30281-7380
(770) 507-1539
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Nathan Segall
- 175 Country Club Dr 100a
- Stockbridge, GA
- Zip : 30281-7380
- Fax : (770) 507-1539
- Phone : (404) 705-9170
Second Address
- Nathan Segall
- 175 Country Club Dr 100a
- Stockbridge, GA
- Zip : 30281-7380
- Fax : (770) 507-1539
- Phone : (770) 507-0707
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | 020602 | GA |
National Provider Identifier
| NPI | 1619982444 |
|---|---|
| Provider Name | Nathan Segall |
| First Address | Stockbridge, GA 30281-7380 |
| Second Address | Stockbridge, GA 30281-7380 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/07/2006 |
| Last Update Date | 18/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000219161E | (05) | GA |
| D30764 | (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.