Provider Demographics
NPI:1841249794
Name:RYMUZA, JEFFREY Z (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:Z
Last Name:RYMUZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7617
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31095-7617
Mailing Address - Country:US
Mailing Address - Phone:478-923-5786
Mailing Address - Fax:478-329-8820
Practice Address - Street 1:1554 WATSON BLVD
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-3432
Practice Address - Country:US
Practice Address - Phone:478-923-5786
Practice Address - Fax:478-329-8820
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031112207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000377242AMedicaid
GA000377242AMedicaid
C81527Medicare UPIN