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Elijah Debroux, MD
Student in an Organized Health Care Education/Training Program in Macon, Georgia
NPI 1992384861

Elijah Debroux is a Student in an Organized Health Care Education/Training Program based in Macon, GA. Elijah Debroux practices in Macon, GA and has the professional credentials of MD. The NPI Number for Elijah Debroux is 1992384861 and holds a License No. (Georgia).

The current practice location address for Elijah Debroux is 777 Hemlock Street Ln, Macon, GA and can be reached out via phone at 478-633-1000.

Location: 777 Hemlock Street Ln, Macon, GA, 31201-2102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992384861
Provider Name
Elijah Debroux
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
777 Hemlock Street Ln, Macon, GA, 31201-2102
Phone Number
478-633-1000
Fax Number
Provider Enumeration Date
04/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
777 Hemlock Street Ln
City
Macon
State
Georgia
Zip
31201-2168
Phone Number
478-633-1000
Fax Number
person
Provider Business Mailing Address Details
Address
777 Hemlock Street Ln
City
Macon
State
Georgia
Zip
31201-2168
Phone Number
478-633-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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