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
Fax: (770) 479-9135
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861573263 NPPES
Georgia MEDICAID 00032051A

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