Individual
DR. CALEB JAMES BOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 535-3611
(770) 535-7092
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 533-6511
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.145505
OH
208000000X
Pediatrics Physician
Primary
95632
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0498170
—
OH
Enumeration date
04/06/2020
Last updated
08/17/2023
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