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General NPI Number Information
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NPI Number | 1144395369
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Entity Type | Individual
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Provider Name | CLAUDIO D MACHADO MD
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Gender | Male
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 12/30/2016
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Provider Practice Location Address
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Address Line | 215 N COLEMAN ST
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City | SWAINSBORO
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State | GA
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Zip | 30401-3530
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Country | US
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Telephone | 478-299-6992
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Fax |
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Provider Business Mailing Address
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Address Line | 215 N COLEMAN ST
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City | SWAINSBORO
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State | GA
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Zip | 30401-3530
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Country | US
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Telephone | 478-299-6992
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 047482
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301046499
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License Number State | MI
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