Havrilla, George S

Havrilla, George S is an sole proprietor health care provider with primary practice located at 544 W Hill St , Thomson GA 30824-2117. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Havrilla, George S can be contacted via phone (706) 595-8787.

Contact Information

Primary practice address
544 W Hill St Thomson GA 30824-2117
Phone: (706) 595-8787
Fax: (706) 595-8757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 000848 Georgia

Profile Details

NPI number 1306841374
LBN Legal business name Havrilla, George S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Feb 14th, 2013 - about 11 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 1306841374 NPPES
Georgia Other 5040540001 DME PROVIDER #
Georgia Other 322007 DME PROVIDER #
Georgia Other 10581911 DME PROVIDER #
Georgia Other 5467067 DME PROVIDER #
Georgia MEDICAID 618552906A DME PROVIDER #
Georgia Other 10041458 DME PROVIDER #
Georgia Other 52773057-003 DME PROVIDER #

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