Gandy, Roy E

Gandy, Roy E is an individual health care provider with primary practice located at 2451 Fillingim St Mastin 101, Mobile AL 36617-2238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gandy, Roy E can be contacted via phone (251) 445-8282.

Contact Information

Primary practice address
2451 Fillingim St Mastin 101 Mobile AL 36617-2238
Phone: (251) 445-8282
Fax: (251) 445-8281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 6662 Alabama

Profile Details

NPI number 1225036312
LBN Legal business name Gandy, Roy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 1st, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225036312 NPPES
Florida MEDICAID 277823800
Florida Other 51539457
Florida MEDICAID 000008042
Florida Other 5108042
Florida Other 51539539
Florida MEDICAID 009941402
Florida MEDICAID 009941403
Florida MEDICAID 00501046

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