Search › Georgia › 207R00000X
Hironobu Takeda, DO
NPI 1164929568 · on the registry since 2018
Practice
- Address
- 6043 Prestley Mill Rd Ste B
Douglasville, GA 30134 - Phone
- (770) 941-8100
- Fax
- (678) 945-9331
- Organisation at this address
- Stacey Kinsey, Dmd Pc
Stacey - Kinsey, Dmd, Pc
Wellstar Medical Group, Llc
Premier Healthcare Solutions
Ortho Sport And Spine Physicians DouglasvilleInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 665 Duluth Hwy Ste 401, Lawrenceville, GA
- 300 W 27th St, Lumberton, NC
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia