Individual
DAVID C KRUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
33204
IA
207Q00000X
Family Medicine Physician
33204
IA
207Q00000X
Family Medicine Physician
Primary
97626
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4219311
—
IA
Enumeration date
04/05/2006
Last updated
01/24/2024
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