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Individual

DR. DANIEL PAUL MILGROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-2303
(706) 721-8623
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
11017386A
IN
208600000X
Surgery Physician
A172461
CA
2086X0206X
Surgical Oncology Physician
Primary
97532
GA

Other

Enumeration date
06/19/2013
Last updated
10/09/2023
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