Individual
DR. SAMUEL JOSEPH DOLEZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3320 OLD JEFFERSON RD STE 600, ATHENS, GA 30607-1463
(706) 353-2990
(706) 353-2992
Mailing address
3320 OLD JEFFERSON RD BLDG 700, ATHENS, GA 30607-1465
(706) 353-2990
(706) 353-2992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65020
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2016
Last updated
11/22/2022
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