Organization
PENN TECK DIAGNOSTICS INC
Active
Organization
PENN TECK DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WEEMS R PENNINGTON JR. MD (PRESIDENT)
(706) 722-6612
Entity
Organization
Contact information
Practice address
820 ST. SEBASTIAN WAY,, SUITE 2B, AUGUSTA, GA 30901
(706) 722-6612
(706) 722-5057
Mailing address
820 ST. SEBASTIAN WAY,, SUITE 2B, AUGUSTA, GA 30901
(706) 722-6612
(706) 722-5057
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
Primary
014977
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00094179C
—
GA
05
—
GPA518
—
SC
Enumeration date
09/28/2006
Last updated
05/26/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up