Gargus, John

Gargus, John is an sole proprietor health care provider with primary practice located at 311 Philip Blvd , Lawrenceville GA 30045-8733. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Gargus, John can be contacted via phone (770) 995-3000.

Contact Information

Primary practice address
311 Philip Blvd Lawrenceville GA 30045-8733
Fax: (770) 995-1427
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 039105 Georgia
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 39105 Georgia

Profile Details

NPI number 1851375505
LBN Legal business name Gargus, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2005
Last updated Feb 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851375505 NPPES
Georgia MEDICAID 000628075U
Georgia MEDICAID 000628075H
Georgia MEDICAID 000628075N
Georgia MEDICAID 000628075J

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