Provider Demographics
NPI:1013197219
Name:NORVIN ONA, DO, PC
Entity Type:Organization
Organization Name:NORVIN ONA, DO, PC
Other - Org Name:PHYSICIANS POINTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NORVIN
Authorized Official - Middle Name:I
Authorized Official - Last Name:ONA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:770-339-5999
Mailing Address - Street 1:1925 OLD PEACHTREE RD NE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-2822
Mailing Address - Country:US
Mailing Address - Phone:770-339-5999
Mailing Address - Fax:770-277-9159
Practice Address - Street 1:1925 OLD PEACHTREE RD NE
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-2822
Practice Address - Country:US
Practice Address - Phone:770-339-5999
Practice Address - Fax:770-277-9159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA037634207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA086CCKJOtherMEDICARE INS ID