Erinne, Samuel C
Erinne, Samuel C is an sole proprietor health care provider with primary practice located at 1029 Cleveland Ave , East Point GA 30344-6719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Erinne, Samuel C can be contacted via phone (404) 768-4626.Contact Information
Primary practice address
1029 Cleveland Ave
East Point GA 30344-6719
Phone: (404) 768-4626
Fax: (404) 768-4631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 035622 | Georgia |
Profile Details
| NPI number | 1972555282 |
|---|---|
| LBN Legal business name | Erinne, Samuel C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Jul 25th, 2012 - about 13 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 | 1972555282 | NPPES |
| Georgia | MEDICAID | 00508483G |
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