Gorum, Michael Wren

Gorum, Michael Wren is an individual health care provider with primary practice located at 1538 13Th. Ave. Suite B300, Columbus GA 31901-3700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Gorum, Michael Wren can be contacted via phone (706) 321-9300.

Contact Information

Primary practice address
1538 13Th. Ave. Suite B300 Columbus GA 31901-3700
Phone: (706) 321-9300
Fax: (706) 321-9384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 44471 Georgia

Profile Details

NPI number 1174685101
LBN Legal business name Gorum, Michael Wren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Sep 17th, 2019 - about 7 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 1174685101 NPPES
Georgia MEDICAID 000766004B
Georgia Other 367345

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