NATHAN SEGALL


Address: 175 Country Club Dr 100a, Stockbridge, GA 30281-7380
Phone: 7705070707

NATHAN SEGALL (NPI# 1619982444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619982444
Entity Type Individual
Full Name NATHAN SEGALL
Credential M.D.
Practice Address 175 Country Club Dr 100a
Stockbridge
GA 30281-7380
Practice Telephone 7705070707
Practice Fax Number 7705071539
Mailing Telephone 4047059170
Mailing Fax Number 7705071539
Enumeration Date 2006-07-30
Last Update Date 2015-09-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0201X Internal Medicine
Specialization: Allergy & Immunology
020602 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 000219161E 05

Office Location

Street Address 175 COUNTRY CLUB DR 100A
City STOCKBRIDGE
State GA
Zip Code 30281-7380

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164039095 Colette Alls Social Worker 447 Lakeshore Dr, Stockbridge, GA 30281 2020-09-24
1982216800 Pediatric and Family Behavioral Health of Georgia Counselor 1004 Ulster Court, Stockbridge, GA 30281 2020-08-21
1518577659 Qunique Taveka Toxey Behavior Technician 115 N Park Trail, Suite 123, Stockbridge, GA 30281 2020-08-04
1497377675 Melanie Harvey Pharmacist 4467 North Henry Boulevard, Stockbridge, GA 30281 2020-05-11
1114550571 Cecile Maria Dunkley Layne Counselor 255 Corporte Drive, Stockbridge, GA 30281 2020-02-13
1306407143 Palliative Care of Georgia. LLC Home Health 275 Corporate Center Court Ste C, Stockbridge, GA 30281 2019-06-24
1154883791 Aaliyah Nura Fardan-alexander Nurse's Aide 105 Singletree, Stockbridge, GA 30281 2019-04-02
1306306261 Prosthetic Care, Inc. Prosthetic/Orthotic Supplier 150 County Club Drive, Suite 200, Stockbridge, GA 30281 2019-03-25
1356814172 Kristina Louissaint Nurse Practitioner 650 Country Club Dr, Stockbridge, GA 30281 2019-01-03
1942789284 Cameren Barnes Physical Therapist 5473 N Henry Blvd, Stockbridge, GA 30281 2018-08-08
Find all providers in zip 30281

Taxonomy Information

Taxonomy Code 207RA0201X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Allergy & Immunology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932217189 Breathe Better Allergy, Asthma, and Sinus P.C. Internal Medicine 950 South Enota Drive, A, Gainesville, GA 30501 2006-08-28
1689614885 Robert Martin Cohen Internal Medicine 2390 Wall St Se, Conyers, GA 30013-2186 2006-06-07
1295737328 Melvin Lee Haysman Internal Medicine 5400 Waters Ave, Savannah, GA 31404-6234 2005-08-10
1669891636 Kristine Vanijcharoenkarn Internal Medicine 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 2014-04-07
1831432863 Charmi D Patel Internal Medicine 1360 Caduceus Way Ste 102, Watkinsville, GA 30677-7300 2013-03-27
1073666087 Jack Benson Potter Internal Medicine 960 Johnson Ferry Rd Ne, Suite 410, Atlanta, GA 30342-1631 2007-01-21
1780699421 Nathan Segall, M.d., P.C. Internal Medicine 980 Johnson Ferry Rd Ne, Suite 1080, Atlanta, GA 30342-1626 2006-07-30
1144276486 Henry Ming-yow Wu Internal Medicine 550 Peachtree St Ne, Tec Medical Office Tower, Atlanta, GA 30308-2212 2006-05-26
1861448110 Mokhtar Hacena Internal Medicine 2054 Watson Blvd, Warner Robins, GA 31093-3634 2006-05-26
1104828250 Wasil Khan Internal Medicine 1326 Eisenhower Dr, Bldg 2, Savannah, GA 31406-3928 2005-08-10
Find all providers with the same taxonomy

Competitor

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City STOCKBRIDGE
Zip Code 30281

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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