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
Phone: (770) 267-2790
Fax: (770) 207-0652
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871707661 | NPPES |
| Georgia | MEDICAID | 000324244D | |
| Georgia | Other | 52238010 |
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