Individual
SETH J BILELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 N BROAD ST, THOMASVILLE, GA 31792-8132
(229) 228-6496
(229) 228-6510
Mailing address
PO BOX 2717, THOMASVILLE, GA 31799-2717
(229) 228-6496
(229) 228-6510
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
64508
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21466
—
LA
Enumeration date
05/23/2007
Last updated
09/30/2010
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