Individual
DR. DEARL V BIRDSONG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
218 FALLS RD, TOCCOA, GA 30577-1631
(706) 297-7877
(877) 586-0142
Mailing address
218 FALLS RD, TOCCOA, GA 30577-1631
(706) 297-7877
(877) 586-0142
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
063171
GA
208600000X
Surgery Physician
25152
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000044337A
—
GA
01
—
51112487
BCBS NEW ISSUE
AL
Enumeration date
04/25/2006
Last updated
05/17/2016
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