Gentin, Miriam P
Gentin, Miriam P is an individual health care provider with primary practice located at 4035 Johns Creek Pkwy Ste C , Suwanee GA 30024-1213. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Gentin, Miriam P can be contacted via phone (678) 450-0202.Contact Information
Primary practice address
4035 Johns Creek Pkwy Ste C
Suwanee GA 30024-1213
Phone: (678) 450-0202
Fax: (678) 971-6065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 53311 | Georgia |
Profile Details
| NPI number | 1740283985 |
|---|---|
| LBN Legal business name | Gentin, Miriam P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jan 16th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740283985 | NPPES |
| Georgia | MEDICAID | 363219785C |
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