Paulk, David

Paulk, David is an individual health care provider with primary practice located at 1199 Prince Ave , Athens GA 30606-2797. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Paulk, David can be contacted via phone (706) 475-7000.

Contact Information

Primary practice address
1199 Prince Ave Athens GA 30606-2797
Phone: (706) 475-7000
Fax: (706) 475-7684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT007657 Georgia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 076870 Georgia

Profile Details

NPI number 1336106475
LBN Legal business name Paulk, David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jun 14th, 2018 - about 6 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 1336106475 NPPES
Georgia MEDICAID 765572493A

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