Bird, George Mack
Bird, George Mack is an sole proprietor health care provider with primary practice located at 821 Plaza Ave Suite B, Eastman GA 31023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Bird, George Mack can be contacted via phone (478) 374-9935.Contact Information
Primary practice address
821 Plaza Ave Suite B
Eastman GA 31023
Phone: (478) 374-9935
Fax: (478) 374-7442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 035-210 | Georgia |
Profile Details
| NPI number | 1508004433 |
|---|---|
| LBN Legal business name | Bird, George Mack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2009 |
| Last updated | Jan 30th, 2009 - 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 | 1508004433 | NPPES |
| Georgia | MEDICAID | 000502312A |
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