Bozeman, Russell Jay

Bozeman, Russell Jay is an individual health care provider with primary practice located at 10929 Us Highway 301 S Suite 111, Statesboro GA 30458-7774. He recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as his primary health care specialty. Bozeman, Russell Jay can be contacted via phone (912) 764-7839.

Contact Information

Primary practice address
10929 Us Highway 301 S Suite 111 Statesboro GA 30458-7774
Phone: (912) 764-7839
Fax: (912) 489-1519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 14782 Georgia

Profile Details

NPI number 1366637142
LBN Legal business name Bozeman, Russell Jay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2007
Last updated Sep 13th, 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.

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