Individual
JOHN W SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1022 HILLCREST PKWY STE 104, DUBLIN, GA 31021-4258
(478) 272-1463
(478) 272-1465
Mailing address
1101 HILLCREST PKWY STE L, PMB #325, DUBLIN, GA 31021-3581
(478) 272-1463
(478) 272-1465
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39475
GA
208D00000X
General Practice Physician
39475
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000786354G
—
GA
Enumeration date
06/14/2006
Last updated
10/07/2025
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