Provider Demographics
NPI:1427178169
Name:ABEL, GENE G (MD)
Entity type:Individual
Prefix:
First Name:GENE
Middle Name:G
Last Name:ABEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 PEACHTREE ST NE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3023
Mailing Address - Country:US
Mailing Address - Phone:404-872-7929
Mailing Address - Fax:404-872-2588
Practice Address - Street 1:1401 PEACHTREE ST NE
Practice Address - Street 2:SUITE 140
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3023
Practice Address - Country:US
Practice Address - Phone:404-872-7929
Practice Address - Fax:404-872-2588
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA026818174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00290826CMedicaid
GAD39249Medicare UPIN