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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us