Healthcare Provider Details

I. General information

NPI: 1073842217
Provider Name (Legal Business Name): DELPHI HEALTHCARE SPECIALISTS OF GEORGIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2009
Last Update Date: 04/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 INDUSTRIAL BLVD
DUBLIN GA
31021-2981
US

IV. Provider business mailing address

PO BOX 935019
ATLANTA GA
31193-5019
US

V. Phone/Fax

Practice location:
  • Phone: 478-274-3900
  • Fax: 478-274-3909
Mailing address:
  • Phone: 330-470-7400
  • Fax: 330-497-7940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID L JOYCE
Title or Position: CEO
Credential:
Phone: 866-885-5522