Legere, Paula J

Legere, Paula J is an sole proprietor health care provider with primary practice located at 2310 Heron St , Brunswick GA 31520-4239. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Legere, Paula J can be contacted via phone (912) 265-8988.

Contact Information

Primary practice address
2310 Heron St Brunswick GA 31520-4239
Fax: (912) 265-0996
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X GA045871 Georgia

Profile Details

NPI number 1285728295
LBN Legal business name Legere, Paula J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Feb 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285728295 NPPES
Georgia Other 240006575 RAILROAD MEDICARE
Georgia MEDICAID 00804053B RAILROAD MEDICARE

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