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NPI Code Detail

MEDICARE: DR. DAVID M PIERCE M.D.

MEDICARE: DR. DAVID M PIERCE 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
1207Q00000XFamily Medicine Physician029930GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245312057
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID M PIERCE M.D.
Provider Business Mailing Address
First Line : 2412 N OAK ST
Second Line :
City : VALDOSTA
State : GA
Zip : 31602-2567
Country : US
Telephone Number : 229-244-1400
Fax Number : 229-244-5512
Provider Business Practice Location Address
First Line : 2412 N OAK ST
Second Line :
City : VALDOSTA
State : GA
Zip : 31602-2567
Country : US
Telephone Number : 229-244-1400
Fax Number : 229-244-5512
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 09/23/2013

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Directions to “ DR. DAVID M PIERCE M.D.” Practice Location

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