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Individual

DR. DAVID M. NUSSBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D. O.

Contact information

Practice address
303 FRASER DR, HINESVILLE, GA 31313
(912) 877-2227
(912) 877-2332
Mailing address
712 N 7TH ST, CORDELE, GA 31015-3271
(229) 276-0052
(229) 276-0064

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
067697
GA
207Q00000X
Family Medicine Physician
MB39192
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003122740A
GA
01
0076492001
AMERIHEALTH
NJ
05
1042505
NJ
01
1101612
MULTIPLAN
NJ
01
156774
ONE HEALTH
NJ
01
202I089675
MEDICARE
GA
01
22-2462363
HORIZON
NJ
01
22-2462363POO
PRIVATE HEALTHCARE SYSTEM
NJ
01
29640
MAGNACARE
NJ
01
31D0111105
CLIA
NJ
01
33077
MASTER CARE
NJ
01
411384M
CIGNA
NJ
01
479643
UNITED HEALTHCARE
NJ
01
498642
AETNA
NJ
01
F10654
HEALTH NET
NJ
01
P902249
OXFORD
NJ
Enumeration date
06/29/2006
Last updated
08/06/2018
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