Greenberg, Judah Norman
Greenberg, Judah Norman is an individual health care provider with primary practice located at 308 Coliseum Dr Ste 200 , Macon GA 31217-3861. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Greenberg, Judah Norman can be contacted via phone (478) 314-0784.Contact Information
Primary practice address
308 Coliseum Dr Ste 200
Macon GA 31217-3861
Phone: (478) 314-0784
Fax: (478) 745-2623
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 66948 | Georgia |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 66948 | Georgia |
Profile Details
NPI number | 1124288790 |
---|---|
LBN Legal business name | Greenberg, Judah Norman |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2008 |
Last updated | Oct 15th, 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 | 1124288790 | NPPES |
Alabama | MEDICAID | 528902170 |
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