Destefano, Nicholas Carroll
Destefano, Nicholas Carroll is an individual health care provider with primary practice located at 300 E Hospital Rd , Fort Gordon GA 30905. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Destefano, Nicholas Carroll can be contacted via phone (706) 383-5299.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 30177 | Nebraska |
Profile Details
| NPI number | 1154776755 |
|---|---|
| LBN Legal business name | Destefano, Nicholas Carroll |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2016 |
| Last updated | Sep 20th, 2023 - about last year |
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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