Holliday, Iii, Peter Osborne
Holliday, Iii, Peter Osborne is an sole proprietor health care provider with primary practice located at 420 Charter Blvd Ste. 402, Macon GA 31210-4854. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Holliday, Iii, Peter Osborne can be contacted via phone (478) 474-0394.Contact Information
Primary practice address
420 Charter Blvd Ste. 402
Macon GA 31210-4854
Phone: (478) 474-0394
Fax: (478) 477-5509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 026557 | Georgia |
Profile Details
| NPI number | 1194799056 |
|---|---|
| LBN Legal business name | Holliday, Iii, Peter Osborne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Apr 24th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194799056 | NPPES |
| Georgia | MEDICAID | 00289528B |
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