Fernando, Marylou David
Fernando, Marylou David is an sole proprietor health care provider with primary practice located at 1113 Garredd Blvd Ste B , Augusta GA 30909-6757. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fernando, Marylou David can be contacted via phone (706) 364-8220.Contact Information
Primary practice address
1113 Garredd Blvd Ste B
Augusta GA 30909-6757
Phone: (706) 364-8220
Fax: (706) 922-5856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 028770 | Georgia |
Profile Details
| NPI number | 1881644045 |
|---|---|
| LBN Legal business name | Fernando, Marylou David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Feb 22nd, 2021 - about 4 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 | 1881644045 | NPPES |
| Georgia | MEDICAID | 00344132H |
Popular Providers
-
Cartie, Richard J
3675 J Dewey Gray Cir Suite 300, Augusta GA 30909-1868 -
Campbell, Robert Allan
1226 Dantignac St , Augusta GA 30901-2788 -
Massey, Jennifer
1245 Augusta West Pkwy , Augusta GA 30909-1807 -
Potter, Lawrence H.
1459 Laney Walker Blvd Medical College Of Georgia, Dept Of Allergy/Immunology, Augusta GA 30912-0002 -
Colon-Santini, Juan L
3675 J Dewey Gray Circle Suite 300, Augusta GA 30909-1868 -
Hartman, April Louise
1120 15Th St , Augusta GA 30912-0004 -
Lamberts, Robert John
119 Davis Rd Suite 4A, Augusta GA 30907-0200 -
Nafarrete, Cynthia Apostol
1722 Central Ave , Augusta GA 30904-5737