Carmichael, Dorner Lee

Carmichael, Dorner Lee is an individual health care provider with primary practice located at 764 Pine St , Macon GA 31201-2107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Carmichael, Dorner Lee can be contacted via phone (478) 633-1696.

Contact Information

Primary practice address
764 Pine St Macon GA 31201-2107
Phone: (478) 633-1696
Fax: (478) 633-2316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000211 Georgia

Profile Details

NPI number 1265491179
LBN Legal business name Carmichael, Dorner Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Mar 7th, 2023 - about 2 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 1265491179 NPPES
Georgia Other 970011438 RAIL ROAD MEDICARE
Georgia MEDICAID 100001881A RAIL ROAD MEDICARE

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