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NPI Code Detail

MEDICARE: PAUL JOSEPH GILES M.D.

MEDICARE: PAUL JOSEPH GILES M.D.
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
1174400000XSpecialist025159GA
2207RC0000XCardiovascular Disease Physician025159GA
3207RI0011XInterventional Cardiology Physician025159GA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1060062628OTHERGARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104827369
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL JOSEPH GILES M.D.
Provider Business Mailing Address
First Line : PO BOX 407
Second Line :
City : VIDALIA
State : GA
Zip : 30475-0407
Country : US
Telephone Number : 912-537-4986
Fax Number :
Provider Business Practice Location Address
First Line : 1006 MOUNT VERNON RD
Second Line :
City : VIDALIA
State : GA
Zip : 30474-3029
Country : US
Telephone Number : 912-537-1221
Fax Number : 912-537-1012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 11/04/2020

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Directions to “ PAUL JOSEPH GILES M.D.” Practice Location

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