Bakotic, Wayne L
Bakotic, Wayne L is an individual health care provider with primary practice located at 6240 Shiloh Rd , Alpharetta GA 30005-8347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Bakotic, Wayne L can be contacted via phone (855) 422-5628.Contact Information
Primary practice address
6240 Shiloh Rd
Alpharetta GA 30005-8347
Phone: (855) 422-5628
Fax: (205) 579-9387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 051017 | Georgia |
Profile Details
| NPI number | 1295798320 |
|---|---|
| LBN Legal business name | Bakotic, Wayne L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Dec 15th, 2022 - 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 | 1295798320 | NPPES |
| Georgia | MEDICAID | 075954118A |
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