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Individual

DR. DAVID PAULK

Active
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Individual

DR. DAVID PAULK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

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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