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Contact Information

DAVID M NUSSBAUM, D. O.
303 FRASER DR
HINESVILLE, GA31313
 Phone: 912-877-2227
 Fax: 912-877-2332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DAVID M NUSSBAUM · (Male)

NPI Number 1063440774
Status Active
Credentials D. O.
Entity Individual
Enumeration date 06/29/2006
Last updated 08/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 067697
  • NJ License # MB39192
  • GA Medicaid 003122740A
  • NJ Medicaid 1042505
  • GA Other 202I089675 MEDICARE
  • NJ Other 498642 AETNA
  • NJ Other 0076492001 AMERIHEALTH
  • NJ Other 411384M CIGNA
  • NJ Other 31D0111105 CLIA
  • NJ Other F10654 HEALTH NET
  • NJ Other 22-2462363 HORIZON
  • NJ Other 29640 MAGNACARE
  • NJ Other 33077 MASTER CARE
  • NJ Other 1101612 MULTIPLAN
  • NJ Other 156774 ONE HEALTH
  • NJ Other P902249 OXFORD
  • NJ Other 22-2462363POO PRIVATE HEALTHCARE SYSTEM
  • NJ Other 479643 UNITED HEALTHCARE
Hospital affiliation(s)
  • WAYNE MEMORIAL HOSPITAL - (Acute Care)
    865 SOUTH FIRST STREET
    JESUP, GA 31545
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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