Del Mazo, Jacinto
Del Mazo, Jacinto is an individual health care provider with primary practice located at 550 Peachtree St Ne Suite 1600, Atlanta GA 30308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Del Mazo, Jacinto can be contacted via phone (404) 881-1094.Contact Information
Primary practice address
550 Peachtree St Ne Suite 1600
Atlanta GA 30308
Phone: (404) 881-1094
Fax: (404) 874-1249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 014238 | Georgia |
Profile Details
| NPI number | 1104891316 |
|---|---|
| LBN Legal business name | Del Mazo, Jacinto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Dec 31st, 2020 - about 5 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 | 1104891316 | NPPES |
| Georgia | MEDICAID | 000185215B |
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