Ayulo, Marco A
Ayulo, Marco A is an sole proprietor health care provider with primary practice located at 207 Fairview Park Dr , Dublin GA 31021-2550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ayulo, Marco A can be contacted via phone (478) 275-1111.Contact Information
Primary practice address
207 Fairview Park Dr
Dublin GA 31021-2550
Phone: (478) 275-1111
Fax: (478) 488-3477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 036088 | Georgia |
Profile Details
| NPI number | 1316938848 |
|---|---|
| LBN Legal business name | Ayulo, Marco A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jul 10th, 2023 - about 2 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 | 1316938848 | NPPES |
| Georgia | MEDICAID | 00516612F | |
| Georgia | MEDICAID | 00516612A |
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