Delima, Cesar Medalla

Delima, Cesar Medalla is an sole proprietor health care provider with primary practice located at 333 Alcovy Street Suite 10, Monroe GA 30655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Delima, Cesar Medalla can be contacted via phone (770) 267-2790.

Contact Information

Primary practice address
333 Alcovy Street Suite 10 Monroe GA 30655
Fax: (770) 207-0652
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 028396 Georgia

Profile Details

NPI number 1871707661
LBN Legal business name Delima, Cesar Medalla
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2007
Last updated Oct 11th, 2016 - about 10 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 1871707661 NPPES
Georgia MEDICAID 000324244D
Georgia Other 52238010

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