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Contact Information

CAMILLE ATALLAH, MD
1058 BERMUDA RUN ROAD
STATESBORO, GA30458
 Phone: 912-871-7100
 Fax: 912-871-7110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CAMILLE ATALLAH · (Male)

NPI # 1104903814
Status Active
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 047289
  • GA Medicaid 00827681B
  • GA Other 582449176 CEDAR SURGICAL ASSOCIATES
  • GA Other 020052432 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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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