Muccio, James David

Muccio, James David is an individual health care provider with primary practice located at 620 J L White Dr Ste 100 , Jasper GA 30143-4897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Muccio, James David can be contacted via phone (706) 253-1305.

Contact Information

Primary practice address
620 J L White Dr Ste 100 Jasper GA 30143-4897
Phone: (706) 253-1305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35-07-8499 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 92222 Georgia

Profile Details

NPI number 1215936844
LBN Legal business name Muccio, James David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Mar 6th, 2023 - about 3 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 1215936844 NPPES
Indiana MEDICAID 200325580A
Indiana MEDICAID 2189886

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