Individual
ENRIQUE ISIDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6391 ROOSEVELT HWY, WARM SPRINGS, GA 31830-2281
(706) 655-5337
(706) 655-5299
Mailing address
6391 ROOSEVELT HWY, WARM SPRINGS, GA 31830-2281
(706) 655-5302
(706) 655-5303
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
49617
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00898147B
—
GA
Enumeration date
05/05/2006
Last updated
01/26/2010
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