Individual
JOHN WILLIAM CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-1000
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
86496
GA
207P00000X
Emergency Medicine Physician
DO-0086
GU
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/03/2015
Last updated
10/09/2020
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