Provider Demographics
NPI:1982740643
Name:LINTEL, ALBERT G III (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:G
Last Name:LINTEL
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:805 SANDY PLAINS ROAD
Mailing Address - Street 2:MEDICAL STAFF SERVICES
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-6340
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3747 ROSWELL RD STE 107
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062
Practice Address - Country:US
Practice Address - Phone:470-956-0150
Practice Address - Fax:678-560-5947
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA028595207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA52230467001OtherBCBS OF GA
GA000322099CMedicaid
GA000322099BMedicaid
GA52230467001OtherBCBS OF GA
GAF33969Medicare UPIN
GAP00463009Medicare PIN
GA93BBJGWMedicare PIN