Eddy, Gary
Eddy, Gary is an individual health care provider with primary practice located at 840 Pine St Ste 760, Macon GA 31201-2100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Eddy, Gary can be contacted via phone (478) 633-6090.Contact Information
Primary practice address
840 Pine St Ste 760
Macon GA 31201-2100
Phone: (478) 633-6090
Fax: (478) 633-2175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 050616 | Georgia |
Profile Details
| NPI number | 1073589909 |
|---|---|
| LBN Legal business name | Eddy, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Sep 21st, 2012 - about 12 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 | 1073589909 | NPPES |
| Georgia | MEDICAID | 000920598C |
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