Ambrozic, Richard A

Ambrozic, Richard A is an individual health care provider with primary practice located at 2501 N Patterson St , Valdosta GA 31602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ambrozic, Richard A can be contacted via phone (229) 333-1000.

Contact Information

Primary practice address
2501 N Patterson St Valdosta GA 31602
Phone: (229) 333-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 43851 Georgia

Profile Details

NPI number 1184692378
LBN Legal business name Ambrozic, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 9th, 2008 - about 16 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 1184692378 NPPES
Georgia MEDICAID 000774375D
Georgia MEDICAID 261951200
Georgia Other 768324

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