Attaway, Dean S
Attaway, Dean S is an individual health care provider with primary practice located at 4120 Five Forks Trickum Rd Sw , Lilburn GA 30047-3130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Attaway, Dean S can be contacted via phone (770) 935-9546.Contact Information
Primary practice address
4120 Five Forks Trickum Rd Sw
Lilburn GA 30047-3130
Phone: (770) 935-9546
Fax: (770) 923-1839
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 021634 | Georgia |
Profile Details
NPI number | 1013021229 |
---|---|
LBN Legal business name | Attaway, Dean S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 18th, 2006 |
Last updated | Nov 27th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013021229 | NPPES |
Georgia | MEDICAID | 00439403D | |
Georgia | Other | 080185797 |
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