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Search › Georgia › 207R00000X

Jose Rivera Sepulveda, MD

NPI 1225590821 · on the registry since 2019 · sole proprietor

Practice

Address
405 S College St
Statesboro, GA 30458
Phone
(478) 621-2072
Organisation at this address
Bulloch County Ltc Llc
Bulloch County Ltc, Llc
Bulloch County Ltc, Llc
Southeast Lung & Critical Care Specialists P C
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207R00000X
390200000X
Licence states on file
PR, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia