Cagle, William Grady
Cagle, William Grady is an sole proprietor health care provider with primary practice located at 196 E Main St , Canton GA 30114-2707. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Cagle, William Grady can be contacted via phone (770) 479-5533.Contact Information
Primary practice address
196 E Main St
Canton GA 30114-2707
Phone: (770) 479-5533
Fax: (770) 479-9135
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 8181 | Georgia |
Profile Details
NPI number | 1861573263 |
---|---|
LBN Legal business name | Cagle, William Grady |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 18th, 2006 |
Last updated | Jul 21st, 2022 - about 3 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 | 1861573263 | NPPES |
Georgia | MEDICAID | 00032051A |
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