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Individual

DR. PAUL MATTHEW BALTHROP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4750 WATERS AVE STE 202, SAVANNAH, GA 31404
(912) 350-7412
(912) 350-7297
Mailing address
4750 WATERS AVE STE 202, SAVANNAH, GA 31404-6278
(912) 350-7412
(912) 350-7297

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
070040
GA
207X00000X
Orthopaedic Surgery Physician
ME111853
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003135073A
GA
05
004947200
FL
05
GA1467
SC
01
P01198989
RAILROAD MEDICARE
GA
Enumeration date
04/22/2007
Last updated
08/10/2018
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