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John Penuel, MD
Diagnostic Radiology Physician in Milledgeville, Georgia
NPI 1285633842

John Penuel is a Diagnostic Radiology Physician based in Norcross, GA and is specialized in Diagnostic Radiology. John Penuel practices in Milledgeville, GA and has the professional credentials of MD. The NPI Number for John Penuel is 1285633842 and holds a License No. 9900983 (Georgia).

The current practice location address for John Penuel is 821 N Cobb St, Milledgeville, GA and can be reached out via phone at 478-452-0524 and via fax at 478-452-0525.

Location: 821 N Cobb St, Milledgeville, GA, 30093-2954
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285633842
Provider Name
John Penuel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
821 N Cobb St, Milledgeville, GA, 30093-2954
Phone Number
478-452-0524
Fax Number
478-452-0525
Provider Enumeration Date
07/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00926483D 05 GA
048926 01 GA LICENSE
581593676 01 GA TAX IDENTIFICATION
P00991552 01 GA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
821 N Cobb St
City
Milledgeville
State
Georgia
Zip
31061-2343
Phone Number
478-452-0524
Fax Number
478-452-0525
person
Provider Business Mailing Address Details
Address
821 N Cobb St
City
Milledgeville
State
Georgia
Zip
31061-2343
Phone Number
478-452-0524
Fax Number
478-452-0525
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
048926 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
9900983 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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