Ponce Terashima, Rafael Andres

Ponce Terashima, Rafael Andres is an individual health care provider with primary practice located at 707 Pine St , Macon GA 31201-2106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Ponce Terashima, Rafael Andres can be contacted via phone (478) 301-5800.

Contact Information

Primary practice address
707 Pine St Macon GA 31201-2106
Phone: (478) 301-5800
Fax: (478) 301-5812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 430109038 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 070409 Georgia
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 070409 Georgia

Profile Details

NPI number 1962720326
LBN Legal business name Ponce Terashima, Rafael Andres
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2010
Last updated Feb 20th, 2019 - about 7 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 1962720326 NPPES
Georgia MEDICAID 003136039

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