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Individual

DR. ROMULO P NAVARRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 DOCTORS DR STE C, DOUGLAS, GA 31533-2211
(912) 384-5832
(912) 383-8279
Mailing address
1100 WARD STREET EXT W, DOUGLAS, GA 31533-1902
(912) 384-1477
(912) 384-1470

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
023646
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000199328B
GA
05
000199328C
GA
01
023646
PHYSICIAN LICENSE #
GA
01
11D0265294
CLIA ID - 1309 OCILLA RD - STE A
GA
01
11D1105865
CLIA ID - 17 JOHNSON ST
GA
01
341237
WELLCARE
GA
01
DH1281
RAILROAD MEDICARE - GROUP #
GA
01
P00603468
RAILROAD MEDICARE - PTAN
GA
Enumeration date
08/23/2005
Last updated
03/07/2023
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