Godlewski, Gary L
Godlewski, Gary L is an sole proprietor health care provider with primary practice located at 4755 Wesleyan Woods Dr , Macon GA 31210-4410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Godlewski, Gary L can be contacted via phone (478) 471-7452.Contact Information
Primary practice address
4755 Wesleyan Woods Dr
Macon GA 31210-4410
Phone: (478) 471-7452
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 30068 | Georgia |
Profile Details
| NPI number | 1306060264 |
|---|---|
| LBN Legal business name | Godlewski, Gary L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1306060264 | NPPES |
| Georgia | MEDICAID | 000353317F |
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