Camilo, Joel

Camilo, Joel is an individual health care provider with primary practice located at 1505 Northside Blvd Suite 2000, Cumming GA 30041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Camilo, Joel can be contacted via phone (770) 781-4010.

Contact Information

Primary practice address
1505 Northside Blvd Suite 2000 Cumming GA 30041
Phone: (770) 781-4010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 073459 Georgia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2007035057 Missouri

Profile Details

NPI number 1144234733
LBN Legal business name Camilo, Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Sep 5th, 2018 - about 8 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 1144234733 NPPES
Georgia MEDICAID 003158042A
Georgia MEDICAID 1144234733

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