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DR. DEARL V BIRDSONG M.D.

>> Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1093771545

Individual Registrant:
DR. DEARL V BIRDSONG M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
218 FALLS RD  TOCCOA, GA 30577-1631 US
Tel: 706-297-7877  Fax: 877-586-0142

Contact information for business:
218 FALLS RD  TOCCOA, GA 30577-1631 US
Tel: 706-297-7877  Fax: 877-586-0142

Registration Information:
NPI: 1093771545
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208600000XAllopathic & Osteopathic Physicians
Surgery
GA063171
N208600000XAllopathic & Osteopathic Physicians
Surgery
AL25152

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000044337AGA05
BCBS NEW ISSUE51112487AL01




HEALTH CARE JOBS GA - Page 1



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