Healthcare Provider Details

I. General information

NPI: 1700890357
Provider Name (Legal Business Name): JAMES M. TOTH M. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 01/07/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 BROADMOOR BLVD KAISER PERMANENTE SUGAR HILL/BUFORD MEDICAL CENTER
BUFORD GA
30518-5408
US

IV. Provider business mailing address

3495 PIEDMONT RD NE NINE PIEDMONET CENTER
ATLANTA GA
30305-1717
US

V. Phone/Fax

Practice location:
  • Phone: 678-765-5735
  • Fax:
Mailing address:
  • Phone: 404-364-7070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number044126
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: