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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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