Provider Demographics
NPI:1831298652
Name:FIRTH, PAUL GERALD (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:GERALD
Last Name:FIRTH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:380 HOSPITAL DR
Mailing Address - Street 2:STE 125
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31217-8001
Mailing Address - Country:US
Mailing Address - Phone:478-750-3700
Mailing Address - Fax:478-750-3701
Practice Address - Street 1:380 HOSPITAL DR
Practice Address - Street 2:STE 125
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31217-8001
Practice Address - Country:US
Practice Address - Phone:478-750-3700
Practice Address - Fax:478-750-3701
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2011-12-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA021684207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000351667AMedicaid
GA000351667AMedicaid