Individual
SAMUEL DEUTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 WEST PIKE STREET, SUITE 100, LAWRENCEVILLE, GA 30045
(770) 682-8442
(770) 682-8200
Mailing address
316 WEST PIKE STREET, SUITE 100, LAWRENCEVILLE, GA 30045
(770) 682-8442
(770) 682-8200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036133
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00554144A
—
GA
Enumeration date
09/07/2006
Last updated
08/10/2010
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