Delima, Judith D

Delima, Judith D is an individual health care provider with primary practice located at 333 Alcovy St Suite 10, Monroe GA 30655-2180. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Delima, Judith D can be contacted via phone (770) 267-2790.

Contact Information

Primary practice address
333 Alcovy St Suite 10 Monroe GA 30655-2180
Phone: (770) 267-2790
Fax: (770) 207-0652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 028528 Georgia

Profile Details

NPI number 1558397455
LBN Legal business name Delima, Judith D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Sep 29th, 2011 - about 14 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 1558397455 NPPES
Georgia Other 028528 GEORGIA STATE MEDICAL LICENSE
Georgia MEDICAID 00326642A GEORGIA STATE MEDICAL LICENSE

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