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DR. ALICIA S ESTILLORE-CRUZ M.D.

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1447205737

Individual Registrant:
DR. ALICIA S ESTILLORE-CRUZ M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
603 WHEAT AVE BAINBRIDGE BAINBRIDGE, GA 39819-4360 US
Tel: 229-246-1209  Fax: 229-243-7707

Contact information for business:
603 WHEAT AVE BAINBRIDGE BAINBRIDGE, GA 39819-4360 US
Tel: 229-246-1209  Fax: 229-243-7707

Registration Information:
NPI: 1447205737
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
GA045780

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000803393BGA05
000803393AGA05




HEALTH CARE JOBS GA - Page 1



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