Dorough, John Michael

Dorough, John Michael is an individual health care provider with primary practice located at 161 Raymonds Grant Trce , Saint Simons Island GA 31522-5393. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Dorough, John Michael can be contacted via phone (912) 638-9734.

Contact Information

Primary practice address
161 Raymonds Grant Trce Saint Simons Island GA 31522-5393
Phone: (912) 638-9734
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001777 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X AA91 Florida

Profile Details

NPI number 1063460236
LBN Legal business name Dorough, John Michael
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 31st, 2013 - about 11 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 1063460236 NPPES
Georgia MEDICAID 100001809A
Georgia MEDICAID 100001811B
Georgia Other P00410144

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