Individual
DR. PAUL MATTHEW BALTHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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