Provider Demographics
NPI:1033195557
Name:DRUCKER, DAVID H (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:H
Last Name:DRUCKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1308 MEMORIAL DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-2577
Mailing Address - Country:US
Mailing Address - Phone:706-278-0880
Mailing Address - Fax:706-278-0859
Practice Address - Street 1:1308 MEMORIAL DR
Practice Address - Street 2:SUITE 2
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-2577
Practice Address - Country:US
Practice Address - Phone:706-278-0880
Practice Address - Fax:706-278-0859
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAGA19515207Q00000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA16BBBVVMedicare ID - Type Unspecified
GAB02937Medicare UPIN