Early, Michael Wayne
Early, Michael Wayne is an sole proprietor health care provider with primary practice located at 201 Avera Dr , Fort Valley GA 31030-5008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Early, Michael Wayne can be contacted via phone (478) 825-3317.Contact Information
Primary practice address
201 Avera Dr
Fort Valley GA 31030-5008
Phone: (478) 825-3317
Fax: (478) 825-5499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27806 | Georgia |
Profile Details
| NPI number | 1376613570 |
|---|---|
| LBN Legal business name | Early, Michael Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1376613570 | NPPES |
| Georgia | MEDICAID | 00307931A |
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