Ehg Gi De, P.a. | |
1309 Savannah Rd Lewes DE 19958-1514 | |
(615) 263-5579 | |
Not Available |
Full Name | Ehg Gi De, P.a. |
---|---|
Speciality | Internal Medicine |
Location | 1309 Savannah Rd, Lewes, Delaware |
Authorized Official Name and Position | Mark Slepin (VICE PRESIDENT) |
Authorized Official Contact | 8664598701 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ehg Gi De, P.a. 1a Burton Hills Blvd Nashville TN 37215-6187 Ph: (615) 263-5579 | Ehg Gi De, P.a. 1309 Savannah Rd Lewes DE 19958-1514 Ph: (615) 263-5579 |
NPI Number | 1801493069 |
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Provider Enumeration Date | 10/01/2020 |
Last Update Date | 07/08/2021 |
Medicare PECOS PAC ID | 3072911544 |
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Medicare Enrollment ID | O20211013003417 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801493069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
Provider Name | Richard F Caruso |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1548252265 PECOS PAC ID: 8628000783 Enrollment ID: I20050909000183 |
Provider Name | Tracy R Dahlke |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1699759720 PECOS PAC ID: 6002824471 Enrollment ID: I20060327000361 |
Provider Name | Kathleen C Hudson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881118420 PECOS PAC ID: 7315208188 Enrollment ID: I20180220000347 |
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