Individual
JAMES DAVID MUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 J L WHITE DR STE 100, JASPER, GA 30143-4897
(706) 253-1305
Mailing address
620 J L WHITE DR STE 100, JASPER, GA 30143-4897
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35-07-8499
OH
207X00000X
Orthopaedic Surgery Physician
Primary
92222
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200325580A
—
IN
05
—
2189886
—
OH
Enumeration date
07/15/2005
Last updated
03/06/2023
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