Individual
JOSE ALFONSO CANEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 MANCHESTER EXPY, BLDG H SUITE 103, COLUMBUS, GA 31904-6802
(706) 571-0121
(706) 571-0124
Mailing address
2300 MANCHESTER EXPY, BLDG H SUITE 103, COLUMBUS, GA 31904-6802
(706) 571-0121
(706) 571-0124
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
032356
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00416435A
—
GA
Enumeration date
03/13/2007
Last updated
02/11/2010
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