Provider Demographics
NPI:1245232651
Name:FURIE, ERIC SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:SCOTT
Last Name:FURIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1252 NORTH AVE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-1525
Mailing Address - Country:US
Mailing Address - Phone:404-522-5828
Mailing Address - Fax:404-222-2322
Practice Address - Street 1:285 BOULEVARD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-4209
Practice Address - Country:US
Practice Address - Phone:404-522-5828
Practice Address - Fax:404-222-2322
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2008-08-13
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-04-10
Provider Licenses
StateLicense IDTaxonomies
GA043942174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00938781AMedicaid
GA1245232651OtherHUMANA
GA1245232651OtherCIGNA
GA1245232651OtherTRICARE
GA1245232651OtherBCBS OF GA
GA2689839OtherAETNA
GA728625OtherBCBSOF GA
GA1245232651OtherUNITED HEALTH CARE
GADA5862OtherMEDICARE RAILROAD
GA1245232651OtherCOVENTRY
GA1245232651OtherCIGNA
GA728625OtherBCBSOF GA