Roth, David Julius
Roth, David Julius is an individual health care provider with primary practice located at 1462 Montreal Rd Ste 303 , Tucker GA 30084-6924. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Roth, David Julius can be contacted via phone (770) 938-9761.Contact Information
Primary practice address
1462 Montreal Rd Ste 303
Tucker GA 30084-6924
Phone: (770) 938-9761
Fax: (770) 938-6509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 032284 | Georgia |
Profile Details
| NPI number | 1245289735 |
|---|---|
| LBN Legal business name | Roth, David Julius |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Feb 22nd, 2008 - about 18 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 | 1245289735 | NPPES |
| Georgia | MEDICAID | 000405457F |
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