Gaupp, Brian Eric

Gaupp, Brian Eric is an individual health care provider with primary practice located at 919 S Broad St , Thomasville GA 31792-6114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gaupp, Brian Eric can be contacted via phone (229) 584-5400.

Contact Information

Primary practice address
919 S Broad St Thomasville GA 31792-6114
Phone: (229) 584-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 047594 Georgia

Profile Details

NPI number 1649265430
LBN Legal business name Gaupp, Brian Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2005
Last updated Sep 17th, 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 1649265430 NPPES
Georgia Other 830007293 RAILROAD MEDICARE
Georgia MEDICAID 00837845C RAILROAD MEDICARE
Georgia Other 52782026 RAILROAD MEDICARE

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