Gorman, Richard W

Gorman, Richard W is an individual health care provider with primary practice located at 1401 Georgian Park Suite 200, Peachtree City GA 30269-6974. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gorman, Richard W can be contacted via phone (770) 632-8909.

Contact Information

Primary practice address
1401 Georgian Park Suite 200 Peachtree City GA 30269-6974
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X GA031008 Georgia

Profile Details

NPI number 1467403303
LBN Legal business name Gorman, Richard W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Mar 22nd, 2010 - about 15 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 1467403303 NPPES
Georgia MEDICAID 00380212C

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