Individual
JUDITH D DELIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 ALCOVY ST, SUITE 10, MONROE, GA 30655-2180
(770) 267-2790
(770) 207-0652
Mailing address
PO BOX 925, MONROE, GA 30655-0925
(770) 267-2790
(770) 207-0652
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
028528
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00326642A
—
GA
01
—
028528
GEORGIA STATE MEDICAL LICENSE
GA
Enumeration date
06/23/2006
Last updated
09/29/2011
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