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Individual

DAVID RUMPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
446 POPLAR ST. SUITE B, MACON, GA 31201
(478) 746-0097
(478) 742-4051
Mailing address
PO BOX 1876, MACON, GA 31201
(478) 746-0097
(478) 742-4051

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN104561
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000770745D
GA
Enumeration date
02/27/2006
Last updated
12/26/2017
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