Agnew, David A

Agnew, David A is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Agnew, David A can be contacted via phone (770) 532-7179.

Contact Information

Primary practice address
743 Spring St Ne Gainesville GA 30501-3715
Phone: (770) 532-7179
Fax: (770) 534-1312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 002553 Georgia

Profile Details

NPI number 1487600672
LBN Legal business name Agnew, David A
Credentials AAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Mar 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487600672 NPPES
Georgia MEDICAID 100001211B
Georgia MEDICAID 100001211C

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