David W Duvall, MD
Individual provider Active NPI Internal Medicine Physician · Cordele, GA
NPI 1750335774 · NPPES record last updated Mar 22, 2018
Key facts
- NPI
- 1750335774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 021498 (GA)
- Practice address
- 201 E 16TH Ave
Cordele, GA 31015-1623 - Phone
- (229) 273-8501
- Fax
- (229) 273-2515
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crisp General Internal Medicine Inc | Internal Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 021498 | GA | Yes |
Addresses
Primary practice location
201 E 16TH Ave
Cordele, GA 31015-1623
Mailing address
PO Box 5785
Cordele, GA 31010
Phone (229) 273-8501
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000220107E | Medicaid | GA |
Other providers in Cordele, GA
- Holly K Davis
- Peter A Donnan
- Douglas Merritt Downey
- Dr F M Himada and Pediatric Associates LLC
- Shelby Dreher
- Eagles at Home LLC
- Mohamed H Elgendy
- Shelby Dozier Eubanks
- Sherry Evans
- Lisa Patterson Faircloth
All providers in Cordele, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.