Deutsch, Geoffrey S

Deutsch, Geoffrey S is an individual health care provider with primary practice located at 100 Mimosa Drive , Thomasville GA 31792. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Deutsch, Geoffrey S can be contacted via phone (229) 226-8881.

Contact Information

Primary practice address
100 Mimosa Drive Thomasville GA 31792
Fax: (229) 225-2165
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 045061 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 045061 Georgia

Profile Details

NPI number 1407835705
LBN Legal business name Deutsch, Geoffrey S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Sep 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407835705 NPPES
Georgia Other 377888 WELLCARE
Georgia MEDICAID 000867622E WELLCARE
Georgia Other 000867622B WELLCARE
Georgia MEDICAID 000867622B WELLCARE
Georgia Other 020054151 WELLCARE

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