Organization
BRUCE M. GIOIA, MD, PA, INC.
Active
Other names
Bruce M Gioia MD PA INC
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN N OGNILLA (OFFICE MANAGER)
(912) 705-0781
Entity
Organization
Contact information
Practice address
388 S MAIN ST, BAXLEY, GA 31513-0104
(912) 705-0781
(912) 705-0154
Mailing address
388 S MAIN ST, BAXLEY, GA 31513-0104
(912) 705-0781
(912) 705-0154
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427095827
NPI
GA
Enumeration date
11/11/2019
Last updated
11/11/2019
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