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Contact Information

JOSEPH R HERZBERGER, PA
1000 JOHNSON FERRY RD NE
ATLANTA, GA30342-1606
 Phone: 404-851-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOSEPH R HERZBERGER · (Male)

NPI # 1205877438
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/09/2006
Last updated 11/13/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 004347
  • GA Medicaid 740575585
  • GA Medicaid 740575585B
  • GA Medicaid 740575585C
  • GA Other 10044975 AMERIGROUP
  • GA Other 333514 WELLCARE
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
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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