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Individual

JEFFRY JOSEPH BIZON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 297-2200
(770) 534-8139
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
043169
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000747282E
GA
05
000747282F
GA
05
000747282G
GA
01
0700385
UNITED HEALTHCARE
GA
01
10045204
AMERIGROUP
GA
01
160054841
RR MEDICARE-GRP # CC4177
GA
01
1894227
CIGNA
GA
01
329152
WELLCARE
GA
01
5079605
AETNA
GA
01
52596823
BCBS
GA
Enumeration date
01/16/2006
Last updated
02/27/2019
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