Dewitt, Henry L
Dewitt, Henry L is an sole proprietor health care provider with primary practice located at 1500 Oglethorpe Ave Suite 3300, Athens GA 30606-2190. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dewitt, Henry L can be contacted via phone (706) 208-1406.Contact Information
Primary practice address
1500 Oglethorpe Ave Suite 3300
Athens GA 30606-2190
Phone: (706) 208-1406
Fax: (706) 208-1407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 027533 | Georgia |
Profile Details
| NPI number | 1619937109 |
|---|---|
| LBN Legal business name | Dewitt, Henry L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jan 31st, 2014 - about 10 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 | 1619937109 | NPPES |
| Georgia | MEDICAID | 000302915C | |
| Georgia | Other | 52024243005 | |
| Georgia | Other | P00053435 |
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