Individual
JAMES VINCENT PALAZZOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
521 W 3RD AVE, ALBANY, GA 31701-1917
(229) 438-5864
(229) 439-4769
Mailing address
PO BOX 72105, ALBANY, GA 31708-2105
(229) 438-5864
(229) 438-1004
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
037637
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
479773
BCBS
GA
01
—
5249773
STATE MERIT
GA
01
—
GA0064264
CHAMPUS
GA
Enumeration date
04/14/2006
Last updated
09/05/2016
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