Individual
DR. DAVID M KALISH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(866) 507-5244
(855) 851-4405
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
47779
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000960066M
—
GA
05
—
000996006I
—
GA
Enumeration date
03/07/2006
Last updated
07/11/2023
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