Individual
DR. DAVID PAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-7000
(706) 475-7684
Mailing address
2727 PACES FERRY ROAD, SUITE 1-1100 (ATTENTION: DENISE), ATLANTA, GA 30339
(470) 271-3421
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
076870
GA
225100000X
Physical Therapist
PT007657
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
765572493A
—
GA
Enumeration date
05/01/2006
Last updated
06/14/2018
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