Doctor Name: | DR. JOSEPH AARON SIEGEL |
NPI Number: | 1083935951 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 65890 |
Business Practice Address: | 2005 Knight Lane Bldg H Nmsc, Attn: Medical Staff Services Jacksonville, FL - 322120140 |
Business Phone Number: | 6195326400 |
Business Fax Number: | |
Mailing Address: | 6040 Major Cir, AUGUSTA |
State: | GA |
Postal Code: | 309094797 |
Phone Number: | 7708268880 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2010 |
NPI Last Update Date: | 11/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 65890 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |