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NPI Code Detail

MEDICARE: XAVIER DE GUZMAN CAPALLA MD

MEDICARE: XAVIER DE GUZMAN CAPALLA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician97556GA

General Provider Information

NPI Number : 1417523093
Entity Type Code : Individual
Provider Name (Legal Business Name) : XAVIER DE GUZMAN CAPALLA MD
Provider Business Mailing Address
First Line : 2336 DAWSON RD STE 1500
Second Line :
City : ALBANY
State : GA
Zip : 31707-2802
Country : US
Telephone Number : 229-312-8800
Fax Number :
Provider Business Practice Location Address
First Line : 2336 DAWSON RD STE 1500
Second Line :
City : ALBANY
State : GA
Zip : 31707-2802
Country : US
Telephone Number : 229-312-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2021
Last Update Date : 10/21/2024

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Directions to “ XAVIER DE GUZMAN CAPALLA MD” Practice Location

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