Kallay, Eugene Wynn

Kallay, Eugene Wynn is an individual health care provider with primary practice located at 1701 Boulevard Sq D, Waycross GA 31501-8021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kallay, Eugene Wynn can be contacted via phone (912) 387-0445.

Contact Information

Primary practice address
1701 Boulevard Sq D Waycross GA 31501-8021
Phone: (912) 387-0445
Fax: (912) 226-3513
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 027395 Georgia

Profile Details

NPI number 1063595973
LBN Legal business name Kallay, Eugene Wynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Nov 17th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063595973 NPPES
Georgia MEDICAID 000311638I
Georgia MEDICAID 000311638C

Popular Providers