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Contact Information

RICHARD PROKESCH, MD
6285 GARDEN WALK BLVD
STE A
RIVERDALE, GA30274-2612
 Phone: 770-991-1150
 Fax: 770-991-9047
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RICHARD PROKESCH · (Male)

NPI # 1427064583
Status Active
Credentials MD
Entity Individual
Enumeration date 07/31/2006
Last updated 09/15/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 019754
  • GA Medicaid 00159057A
Hospital affiliation(s)
  • GREAT PLAINS REGIONAL MEDICAL CENTER - (Acute Care)
    601 WEST LEOTA ST
    NORTH PLATTE, NE 69101
  • PIEDMONT HENRY HOSPITAL - (Acute Care)
    1133 EAGLE'S LANDING PARKWAY
    STOCKBRIDGE, GA 30281
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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