MEDICARE: DR. ANTHONY JOSEPH PIAZZA MD

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	2080N0001X	Neonatal-Perinatal Medicine Physician	038910	GA

General Provider Information

NPI Number	:	1891743878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY JOSEPH PIAZZA MD

Provider Business Mailing Address
First Line	:	49 JESSE HILL JR DR SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30303-3049
Country	:	US
Telephone Number	:	404-778-1450
Fax Number	:	404-778-1467

Provider Business Practice Location Address
First Line	:	49 JESSE HILL JR DRIVE
Second Line	:	DEPT OF PEDIATRICS, DIVISION OF NEONATAL-PERINATAL MED
City	:	ATLANTA
State	:	GA
Zip	:	30303-3049
Country	:	US
Telephone Number	:	404-778-1450
Fax Number	:	404-778-1467

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/11/2015

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