Flores, Enrique A

Flores, Enrique A is an individual health care provider with primary practice located at 4140 Tate St Ne , Covington GA 30014-2562. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Flores, Enrique A can be contacted via phone (770) 786-0077.

Contact Information

Primary practice address
4140 Tate St Ne Covington GA 30014-2562
Phone: (770) 786-0077
Fax: (770) 786-8750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 36741 Georgia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 36741 Georgia

Profile Details

NPI number 1134170517
LBN Legal business name Flores, Enrique A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Dec 17th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134170517 NPPES
Georgia MEDICAID 00539866H
Georgia MEDICAID 00539866I

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