Gacusan, Myrna
Gacusan, Myrna is an individual health care provider with primary practice located at 6911 Tara Blvd , Jonesboro GA 30236-1503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gacusan, Myrna can be contacted via phone (770) 477-8573.Contact Information
Primary practice address
6911 Tara Blvd
Jonesboro GA 30236-1503
Phone: (770) 477-8573
Fax: (770) 477-8573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 151283 | Georgia |
Profile Details
| NPI number | 1174976088 |
|---|---|
| LBN Legal business name | Gacusan, Myrna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2016 |
| Last updated | Jul 14th, 2016 - about 9 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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