Alvarez, Gregory

Alvarez, Gregory is an individual health care provider with primary practice located at 265 N Jeff Davis Dr , Fayetteville GA 30214-1625. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Alvarez, Gregory can be contacted via phone (770) 487-6716.

Contact Information

Primary practice address
265 N Jeff Davis Dr Fayetteville GA 30214-1625
Phone: (770) 487-6716
Fax: (770) 487-1232
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000621 Georgia

Profile Details

NPI number 1861496754
LBN Legal business name Alvarez, Gregory
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Dec 3rd, 2015 - about 9 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 1861496754 NPPES
Georgia Other 202I489464 MEDICARE PTAN
Georgia MEDICAID 000451756A MEDICARE PTAN

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