Individual
DR. ALAN JOSEPH DEANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3623 J DEWEY GRAY CIR, AUGUSTA, GA 30909-6511
(706) 922-7400
(706) 644-0965
Mailing address
300 HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER, ATTN CREDENTIALS, FT GORDON, GA 30905-5650
(706) 787-2252
(706) 787-6829
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101102540
VA
Other
Enumeration date
01/30/2007
Last updated
02/15/2024
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