Provider Demographics
NPI:1932478567
Name:HEALTHPOINT PC
Entity Type:Organization
Organization Name:HEALTHPOINT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARAT
Authorized Official - Middle Name:V
Authorized Official - Last Name:PLOTKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-631-1040
Mailing Address - Street 1:105 GREENCASTLE ROAD
Mailing Address - Street 2:SUITE A
Mailing Address - City:TYRONE
Mailing Address - State:GA
Mailing Address - Zip Code:30290-2945
Mailing Address - Country:US
Mailing Address - Phone:770-631-1040
Mailing Address - Fax:770-631-1019
Practice Address - Street 1:105 GREENCASTLE RD
Practice Address - Street 2:SUITE A
Practice Address - City:TYRONE
Practice Address - State:GA
Practice Address - Zip Code:30290-2945
Practice Address - Country:US
Practice Address - Phone:770-631-1040
Practice Address - Fax:770-631-1019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000804724XMedicaid