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Individual

JAMES T PALMER

Active
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Individual

JAMES T PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
056209
GA
207L00000X
Anesthesiology Physician
5106
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201213081A
GA
01
393526
BLUE CROSS BLUE SHIELD
GA
01
CM 5659
RAILROAD GRP NUMBER
GA
01
GRP 332
MEDICARE GRP NUMBER
GA
01
P00250447
RAILROAD MEDICARE PART B
GA
Enumeration date
05/26/2006
Last updated
03/03/2023
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