Felzien, Gregory Shawn

Felzien, Gregory Shawn is an individual health care provider with primary practice located at 3 West Altman Street , Statesboro GA 30458-5212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Felzien, Gregory Shawn can be contacted via phone (912) 764-2402.

Contact Information

Primary practice address
3 West Altman Street Statesboro GA 30458-5212
Phone: (912) 764-2402
Fax: (912) 764-5561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23900 Oklahoma

Profile Details

NPI number 1811971625
LBN Legal business name Felzien, Gregory Shawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Mar 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811971625 NPPES
Georgia MEDICAID 179537436E
Georgia MEDICAID 200015000A
Georgia Other 202I445780
Georgia MEDICAID 152095001

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