Individual
EGIDIO G. DEL FABBRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST STE OR-6000, AUGUSTA, GA 30912-5051
(706) 721-8623
Mailing address
1120 15TH ST STE OR-6000, AUGUSTA, GA 30912-0004
(706) 721-8623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101251427
VA
207R00000X
Internal Medicine Physician
Primary
90866
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90866
GA MEDICAL LICENSE
GA
Enumeration date
09/15/2006
Last updated
02/23/2022
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