Dungan, Gina S

Dungan, Gina S is an individual health care provider with primary practice located at 220 Northside Drive , Valdosta GA 31602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dungan, Gina S can be contacted via phone (229) 241-2800.

Contact Information

Primary practice address
220 Northside Drive Valdosta GA 31602
Phone: (229) 241-2800
Fax: (229) 241-0454
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R112406 Georgia

Profile Details

NPI number 1346326048
LBN Legal business name Dungan, Gina S
Credentials NPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346326048 NPPES
Georgia MEDICAID 00922402A

Popular Providers