Bauer, Gregg A

Bauer, Gregg A is an individual health care provider with primary practice located at 699 Church St Ne Suite 220, Marietta GA 30060-1116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bauer, Gregg A can be contacted via phone (770) 422-8505.

Contact Information

Primary practice address
699 Church St Ne Suite 220 Marietta GA 30060-1116
Phone: (770) 422-8505
Fax: (770) 424-7449
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 034108 Georgia

Profile Details

NPI number 1962477380
LBN Legal business name Bauer, Gregg A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Feb 16th, 2017 - about 7 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 1962477380 NPPES
Georgia Other 323730 WELLCARE
Georgia Other 481285 WELLCARE
Georgia Other 0700203 WELLCARE
Georgia Other 5884019 WELLCARE
Georgia Other 10056227 WELLCARE
Georgia MEDICAID 000532067C WELLCARE
Georgia MEDICAID 000532067E WELLCARE
Georgia Other 1865269-001 WELLCARE
Georgia MEDICAID 000532067G WELLCARE

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