Individual
ERICH SMITH PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
822 INDUSTRIAL BLVD, ELLIJAY, GA 30540-3804
(706) 276-4741
(706) 276-4645
Mailing address
822 INDUSTRIAL BLVD, P.O. BOX 1019, ELLIJAY, GA 30540-3804
(706) 276-4741
(706) 276-4645
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
72078
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118518
APPLE MEDICAL CENTER RURAL HEALTH MEDICARE PROVIDER NUMBER
GA
01
—
1407062862
APPLE MEDICAL CENTER GROUP NPI NUMBER
GA
01
—
1952395097
MEDICARE PART B NPI NUMBER
GA
01
—
58-1896463
NORTH GEORGIA MEDICAL CENTER FEDERAL TAX ID
GA
01
—
993428330A
MEDICAID RURAL HEALTH CARE PROVIDER NUMBER
GA
01
—
HOSP34
MEDICARE PART B NUMBER
GA
Enumeration date
07/06/2010
Last updated
12/08/2014
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