Delmazo, Miguel B

Delmazo, Miguel B is an individual health care provider with primary practice located at 3215 Mcclure Bridge Rd , Duluth GA 30096. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Delmazo, Miguel B can be contacted via phone (678) 312-6200.

Contact Information

Primary practice address
3215 Mcclure Bridge Rd Duluth GA 30096
Phone: (678) 312-6200
Fax: (678) 312-6226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 065651 Georgia

Profile Details

NPI number 1598904740
LBN Legal business name Delmazo, Miguel B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2009
Last updated Apr 19th, 2023 - about last year

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 1598904740 NPPES
Georgia MEDICAID 003114073F
Georgia MEDICAID 003114073L
Georgia Other 9738749
Georgia Other 52515750
Georgia MEDICAID 003114073N
Georgia Other 1489990
Georgia MEDICAID 003114073H
Georgia MEDICAID 003114073K
Georgia Other 02378992
Georgia MEDICAID 003114073I
Georgia MEDICAID 003114073M
Georgia MEDICAID 003114073G
Georgia Other 1022567
Georgia Other 9672923
Georgia MEDICAID 003114073J

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