Deal, Robert Tyson

Deal, Robert Tyson is an individual health care provider with primary practice located at 340 N Belair Rd , Evans GA 30809-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Deal, Robert Tyson can be contacted via phone (706) 868-5676.

Contact Information

Primary practice address
340 N Belair Rd Evans GA 30809-3000
Phone: (706) 868-5676
Fax: (706) 722-2824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 052914 Georgia

Profile Details

NPI number 1376654269
LBN Legal business name Deal, Robert Tyson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 3rd, 2010 - about 14 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 1376654269 NPPES
Georgia MEDICAID 661528293A
Georgia MEDICAID G52914
Georgia MEDICAID 661528293B
Georgia Other P00331675

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