Provider Demographics
NPI:1700890357
Name:TOTH, JAMES M (M D)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:TOTH
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
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Mailing Address - Street 1:3495 PIEDMONT RD NE
Mailing Address - Street 2:NINE PIEDMONET CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:
Practice Address - Street 1:1435 BROADMOOR BLVD
Practice Address - Street 2:KAISER PERMANENTE SUGAR HILL/BUFORD MEDICAL CENTER
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-5408
Practice Address - Country:US
Practice Address - Phone:678-765-5735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA044126207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA044126OtherGA LICENSE
GA08BBWGKMedicare PIN
GA044126OtherGA LICENSE
G59789Medicare UPIN