Picon, Hector Rafael

Picon, Hector Rafael is an individual health care provider with primary practice located at 504 Redmond Rd Nw , Rome GA 30165-1416. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Picon, Hector Rafael can be contacted via phone (706) 235-3855.

Contact Information

Primary practice address
504 Redmond Rd Nw Rome GA 30165-1416
Phone: (706) 235-3855
Fax: (706) 290-2382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 032022 Georgia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 032022 Georgia

Profile Details

NPI number 1457416869
LBN Legal business name Picon, Hector Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Apr 28th, 2020 - about 6 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 1457416869 NPPES
Georgia MEDICAID 000489211A
Georgia MEDICAID 000489211J

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