MEDICARE: DR. JAMES M. TOTH 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
1	207Q00000X	Family Medicine Physician	044126	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	044126	OTHER	GA	GA LICENSE

General Provider Information

NPI Number	:	1700890357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES M. TOTH M. D.

Provider Business Mailing Address
First Line	:	3495 PIEDMONT RD NE
Second Line	:	NINE PIEDMONET CENTER
City	:	ATLANTA
State	:	GA
Zip	:	30305-1717
Country	:	US
Telephone Number	:	404-364-7070
Fax Number	:

Provider Business Practice Location Address
First Line	:	1435 BROADMOOR BLVD
Second Line	:	KAISER PERMANENTE SUGAR HILL/BUFORD MEDICAL CENTER
City	:	BUFORD
State	:	GA
Zip	:	30518-5408
Country	:	US
Telephone Number	:	678-765-5735
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	01/07/2022

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