Landis, Anthony M

Landis, Anthony M is an individual health care provider with primary practice located at 631 Professional Drive Suite 450, Lawrenceville GA 30046-7651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Landis, Anthony M can be contacted via phone (770) 963-8030.

Contact Information

Primary practice address
631 Professional Drive Suite 450 Lawrenceville GA 30046-7651
Phone: (770) 963-8030
Fax: (770) 339-9577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 021733 Georgia

Profile Details

NPI number 1821187436
LBN Legal business name Landis, Anthony M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jan 29th, 2010 - about 14 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 1821187436 NPPES
Georgia Other 1821187436 PROVIDER NPI NUMBER
Georgia MEDICAID 00245506J PROVIDER NPI NUMBER
Georgia Other 1508926759 PROVIDER NPI NUMBER

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