Individual
DAVID ISRAEL MEDEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
915 GORDON AVE, THOMASVILLE, GA 31792-6614
(229) 228-2597
Mailing address
100 S MADISON ST, THOMASVILLE, GA 31792-5473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.011211
OH
208M00000X
Hospitalist Physician
Primary
73031
GA
Other
Enumeration date
03/07/2011
Last updated
08/10/2015
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