De La Sierra, David Anthony
De La Sierra, David Anthony is an sole proprietor health care provider with primary practice located at 528 S 8Th St , Griffin GA 30224-4212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. De La Sierra, David Anthony can be contacted via phone (770) 467-1224.Contact Information
Primary practice address
528 S 8Th St
Griffin GA 30224-4212
Phone: (770) 467-1224
Fax: (770) 467-1225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 056820 | Georgia |
Profile Details
| NPI number | 1316056369 |
|---|---|
| LBN Legal business name | De La Sierra, David Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Mar 24th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316056369 | NPPES |
| Georgia | MEDICAID | 382655211A | |
| Georgia | Other | P00734398 |
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