Galysh, Roman L

Galysh, Roman L is an individual health care provider with primary practice located at 1825 Martha Berry Blvd Nw , Rome GA 30165-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Galysh, Roman L can be contacted via phone (706) 295-5331.

Contact Information

Primary practice address
1825 Martha Berry Blvd Nw Rome GA 30165-1625
Fax: (706) 238-8011
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 060373 Georgia

Profile Details

NPI number 1235348004
LBN Legal business name Galysh, Roman L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Apr 23rd, 2020 - about 5 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 1235348004 NPPES
Georgia MEDICAID 407732684C
Georgia MEDICAID 407732684B
Georgia MEDICAID 407732684A

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