Individual provider · NPI-1

Dr. Ricardo Banjamin Alvarez, MD

Internal Medicine · Columbus, GA

NPI number1417078031
StatusActive
Last updated in NPPESOct 24, 2022

Details

NPI
1417078031
Entity type
Individual (NPI-1)
Name
Dr. Ricardo Banjamin Alvarez
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 2, 2007
Certification date
Oct 24, 2022
Last updated
Oct 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine052876GAYes
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism052876GA

Practice location

1013 Talbotton Rd
Columbus, GA 31904-8744

Phone 706-507-7067 · Fax 706-221-3179

Mailing address

1013 Talbotton Rd
Columbus, GA 31904-8744

Phone 706-507-7067 · Fax 706-221-3179

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