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NPI Code Detail

MEDICARE: DR. JAMES C EUTZLER DO

MEDICARE: DR. JAMES C EUTZLER DO
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
1207P00000XEmergency Medicine Physician049729GA

General Provider Information

NPI Number : 1801887161
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES C EUTZLER DO
Provider Business Mailing Address
First Line : 520 GRIFFIN AVENUE
Second Line : CONVENIENT CARE SOUTH
City : VALDOSTA
State : GA
Zip : 31601-2327
Country : US
Telephone Number : 229-249-4010
Fax Number : 229-249-4009
Provider Business Practice Location Address
First Line : 520 GRIFFIN AVE
Second Line :
City : VALDOSTA
State : GA
Zip : 31601-6331
Country : US
Telephone Number : 229-249-4010
Fax Number : 229-249-4009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 04/30/2008

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Directions to “ DR. JAMES C EUTZLER DO” Practice Location

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