Homsombath, Bounthavy
Homsombath, Bounthavy is an individual health care provider with primary practice located at 3675 J Dewey Gray Cir Suite 300, Augusta GA 30909-1868. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Homsombath, Bounthavy can be contacted via phone (706) 863-9595.Contact Information
Primary practice address
3675 J Dewey Gray Cir Suite 300
Augusta GA 30909-1868
Phone: (706) 863-9595
Fax: (888) 745-3917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 68031 | Georgia |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | DR.0055839 | Colorado |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 117401 | Florida |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 22874 | Mississippi |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD35525 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD0000063863 | Tennessee |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | Q6030 | Texas |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 068031 | Georgia |
Profile Details
| NPI number | 1225281330 |
|---|---|
| LBN Legal business name | Homsombath, Bounthavy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2008 |
| Last updated | May 5th, 2022 - about 3 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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