Dr. Judah Norman Greenberg
Dermatologist MOHS-Micrographic Surgeon
308 Coliseum Dr Ste 200
Macon
, Georgia 31217-3861
Dr. Judah Norman Greenberg
Dermatologist MOHS-Micrographic Surgeon
308 Coliseum Dr Ste 200
Macon
, Georgia 31217-3861
(478) 745-2623
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Judah Norman Greenberg
- 308 Coliseum Dr Ste 200
- Macon, GA
- Zip : 31217-3861
- Fax : (478) 745-2623
- Phone : (478) 314-0784
Second Address
- Dr. Judah Norman Greenberg
- 308 Coliseum Dr Ste 200
- Macon, GA
- Zip : 31217-3861
- Fax : (478) 745-2623
- Phone : (478) 314-0784
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 66948 | GA |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 66948 | GA |
National Provider Identifier
| NPI | 1124288790 |
|---|---|
| Provider Name | Dr. Judah Norman Greenberg |
| First Address | Macon, GA 31217-3861 |
| Second Address | Macon, GA 31217-3861 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2008 |
| Last Update Date | 15/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 528902170 | (05) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.