Taxonomy Code 208D00000X(208d00000x)
General Practice Physician. Providers: 2

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General Practice Physician Providers

NPI Name Type Address

1871756155

DR. M.D. Fidias Eduardo De Leon

Individual

3576 Highway 138 Se Ste A

Stockbridge, GA

1174857940

DR. M.D. Andre Vontral Haynes

Individual

229 Rugged Creek Dr

Stockbridge, GA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 208D00000X
Display Name General Practice Physician
Taxonomy Group Allopathic & Osteopathic Physicians
Taxonomy Classification General Practice
Definition Definition to come...
Effective Date September 30, 2009
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Other Taxonomy Codes

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2472E0500X • providers: 106

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122300000X • providers: 112,055

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261QA0600X • providers: 5,657

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