Roger David Mize, MD is a
Internal Medicine physician based in Elberton, Georgia. Roger David Mize is licensed to practice in Georgia (license number 22253) and his current practice location is 109 College Ave, Elberton, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 283-3315.
NPI number for Roger David Mize is 1265439574 and his current mailing address is 109 College Ave, Elberton, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265439574.
Physician's Profile
| Full Name | Roger David Mize |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 109 College Ave, Elberton, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265439574
- Provider Enumeration Date: 06/30/2005
- Last Update Date: 01/05/2010
Medical Identifiers
Medical identifiers for Roger David Mize such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265439574 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 22253 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roger David Mize is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Roger David Mize, MD
109 College Ave,
Elberton, GA 30635-1705
Ph: (706) 283-3315 | Roger David Mize, MD
109 College Ave,
Elberton, GA 30635-1705
Ph: (706) 283-3315 |
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