Provider Demographics
NPI:1730191487
Name:SEPESI, JOSHUA G (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:G
Last Name:SEPESI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1270 PRINCE AVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-2762
Mailing Address - Country:US
Mailing Address - Phone:706-552-1600
Mailing Address - Fax:706-552-5370
Practice Address - Street 1:1270 PRINCE AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2762
Practice Address - Country:US
Practice Address - Phone:706-552-1600
Practice Address - Fax:706-552-5370
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2012-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA051738207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA10059222OtherAMERIGROUP
GA2770995OtherCIGNA
GA6112OtherKAISER
GA000959615HMedicaid
GA322075OtherWELLCARE
GA1730191487OtherATHENS AREA HEALTH PLAN SELECT (AAHPS)
GA1730191487OtherTRICARE
GA963216OtherBLUE CROSS BLUE SHIELD
GA1730191487OtherUNITED HEALTHCARE
GA16BBCWWMedicare ID - Type Unspecified
GA10059222OtherAMERIGROUP