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Individual

PAUL A BILODEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 15TH STREET, AUGUSTA, GA 30912
(706) 721-2505
(706) 721-1500
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2650
(706) 828-8402

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
022720
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000236981C
GA
05
G22720
SC
Enumeration date
10/02/2006
Last updated
11/30/2012
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