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Individual

DR. BRUCE M GIOIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
388 S MAIN ST, BAXLEY, GA 31513
(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
207P00000X
Emergency Medicine Physician
038774
GA
207R00000X
Internal Medicine Physician
Primary
038774
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000622036
GA
01
1427095827
NPI
GA
Enumeration date
06/02/2006
Last updated
10/25/2019
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