Provider Demographics
NPI:1467537605
Name:VARNADORE, JOSEPH GREGORY (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:GREGORY
Last Name:VARNADORE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1268
Mailing Address - Street 2:231 FALLS RD.
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577-1422
Mailing Address - Country:US
Mailing Address - Phone:706-886-7555
Mailing Address - Fax:706-886-3835
Practice Address - Street 1:231 FALLS RD
Practice Address - Street 2:
Practice Address - City:TOCCOA
Practice Address - State:GA
Practice Address - Zip Code:30577-1611
Practice Address - Country:US
Practice Address - Phone:706-886-7555
Practice Address - Fax:706-886-3835
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA22659207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D31088Medicare UPIN