Search › Georgia › 208100000X
Jack Pines, M.D
NPI 1568859510 · on the registry since 2015
Practice
- Address
- 105 Regency Park Dr
Mcdonough, GA 30253 - Phone
- (770) 506-4119
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 208100000X
390200000X - Licence states on file
- LA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-18
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