Individual
JOEL CAMILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 NORTHSIDE BLVD, SUITE 2000, CUMMING, GA 30041
(770) 781-4010
Mailing address
1355 PEACHTREE ST NE STE 1600, ATLANTA, GA 30309-3276
(678) 223-7774
(678) 223-7799
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
073459
GA
207RG0100X
Gastroenterology Physician
2007035057
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003158042A
—
GA
05
—
1144234733
—
MO
Enumeration date
07/28/2006
Last updated
09/05/2018
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