Organization
DR WILLIAM DAVID BREEDLOVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DAVID BREEDLOVE MD (CEO)
(706) 745-3333
Entity
Organization
Contact information
Practice address
162 HOSPITAL RD, STE A, BLAIRSVILLE, GA 30512
(706) 745-3333
(706) 745-7188
Mailing address
P.O. BOX 1907, BLAIRSVILLE, GA 30514
(706) 745-3333
(706) 745-7188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
026465
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00325927B
—
GA
Enumeration date
05/11/2017
Last updated
12/06/2023
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