Gard, Dwayne Thomas

Gard, Dwayne Thomas is an individual health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31404-6220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Gard, Dwayne Thomas can be contacted via phone (912) 350-2155.

Contact Information

Primary practice address
4700 Waters Ave Savannah GA 31404-6220
Phone: (912) 350-2155
Fax: (912) 350-2156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 127604 North Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 060731 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 060731 Georgia

Profile Details

NPI number 1053440099
LBN Legal business name Gard, Dwayne Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Nov 15th, 2011 - about 14 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 1053440099 NPPES
Georgia MEDICAID 721978496A
Georgia Other 466640
Georgia MEDICAID G60731
Georgia Other 01352254
Georgia MEDICAID 721978496B
Georgia Other P00803304
Georgia Other P00609441

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