Individual
DR. JUDAH NORMAN GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
540 CHARTER BLVD STE 200, MACON, GA 31210-4893
(706) 543-5858
(706) 543-2050
Mailing address
1180 RESURGENCE DR STE 100, WATKINSVILLE, GA 30677-7211
(706) 543-5858
(706) 543-2050
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
66948
GA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
66948
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528902170
—
AL
Enumeration date
06/16/2008
Last updated
02/11/2026
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