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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1124288790 NPPES
Alabama MEDICAID 528902170

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