Gore, Jonathan Garrett
Gore, Jonathan Garrett is an individual health care provider with primary practice located at 420 E 2Nd Ave Suite 103, Rome GA 30161-3209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gore, Jonathan Garrett can be contacted via phone (706) 509-3278.Contact Information
Primary practice address
420 E 2Nd Ave Suite 103
Rome GA 30161-3209
Phone: (706) 509-3278
Fax: (706) 509-4600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 059417 | Georgia |
Profile Details
| NPI number | 1851508964 |
|---|---|
| LBN Legal business name | Gore, Jonathan Garrett |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | May 7th, 2012 - about 12 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 | 1851508964 | NPPES |
| Georgia | MEDICAID | 622192462B |
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