Gay, Brian P

Gay, Brian P is an individual health care provider with primary practice located at 425 Broad St Se Suite 102, Gainesville GA 30501-3725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gay, Brian P can be contacted via phone (770) 718-9776.

Contact Information

Primary practice address
425 Broad St Se Suite 102 Gainesville GA 30501-3725
Fax: (770) 718-1910
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 045467 Georgia

Profile Details

NPI number 1093790669
LBN Legal business name Gay, Brian P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Mar 14th, 2008 - about 16 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 1093790669 NPPES
Georgia MEDICAID 000791997E
Georgia Other P00235315

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