Delaney, Gwendolyn A
Delaney, Gwendolyn A is an sole proprietor health care provider with primary practice located at 410 Peachtree Pkwy Ste 4260 , Cumming GA 30041-7407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Delaney, Gwendolyn A can be contacted via phone (678) 990-2501.Contact Information
Primary practice address
410 Peachtree Pkwy Ste 4260
Cumming GA 30041-7407
Phone: (678) 990-2501
Fax: (678) 990-2505
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 049380 | Georgia |
Profile Details
NPI number | 1720085012 |
---|---|
LBN Legal business name | Delaney, Gwendolyn A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 1st, 2005 |
Last updated | Jan 14th, 2020 - about 4 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 | 1720085012 | NPPES |
Georgia | Other | 1720085012 | NPI |
Georgia | MEDICAID | 000885431Q | NPI |
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