Individual
DORTH G. FALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2771
(706) 721-7781
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-8401
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
026773
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000290848A
—
GA
05
—
G04642
—
SC
Enumeration date
08/30/2006
Last updated
05/06/2014
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