Gorman, Alfred Carl

Gorman, Alfred Carl is an individual health care provider with primary practice located at 114 Canal St Suite 101, Pooler GA 31322-4153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gorman, Alfred Carl can be contacted via phone (912) 748-3368.

Contact Information

Primary practice address
114 Canal St Suite 101 Pooler GA 31322-4153
Fax: (912) 748-6298
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036757 Georgia

Profile Details

NPI number 1841248416
LBN Legal business name Gorman, Alfred Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Dec 10th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841248416 NPPES
Georgia MEDICAID 000973365C

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