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RICHARD A AMBROZIC MD

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1184692378

Individual Registrant:
 RICHARD A AMBROZIC MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2501 N PATTERSON ST  VALDOSTA, GA 31602 US
Tel: 229-333-1000  Fax: --

Contact information for business:
PO BOX 402059  ATLANTA, GA 30384-2059 US
Tel: 229-333-1000  Fax: --

Registration Information:
NPI: 1184692378
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
GA43851

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000774375DGA05
261951200FL05
BLUE CROSS BLUE SHIELD768324GA01




HEALTH CARE JOBS GA - Page 1



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