Gremillion, Avit John
Gremillion, Avit John is an sole proprietor health care provider with primary practice located at 962 Tommy Munro Dr Ste E , Biloxi MS 39532-2139. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Gremillion, Avit John can be contacted via phone (228) 388-7000.Contact Information
Primary practice address
962 Tommy Munro Dr Ste E
Biloxi MS 39532-2139
Phone: (228) 388-7000
Fax: (833) 849-9899
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 023984 | Louisiana |
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 023984 | Louisiana |
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 17239 | Mississippi |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 17239 | Mississippi |
Profile Details
NPI number | 1861479529 |
---|---|
LBN Legal business name | Gremillion, Avit John |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 23rd, 2005 |
Last updated | Dec 5th, 2023 - about last year |
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 | 1861479529 | NPPES |
Louisiana | MEDICAID | 1486787 | |
Louisiana | Other | 180000355 | |
Louisiana | MEDICAID | 05109745 | |
Louisiana | Other | 7812033 | |
Louisiana | MEDICAID | 05109145 |
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