Lonergan, Walter M.
Lonergan, Walter M. is an individual health care provider with primary practice located at 775 Poplar Rd Suite 120, Newnan GA 30265-8300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lonergan, Walter M. can be contacted via phone (770) 400-4510.Contact Information
Primary practice address
775 Poplar Rd Suite 120
Newnan GA 30265-8300
Phone: (770) 400-4510
Fax: (678) 423-2737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 027401 | Georgia |
Profile Details
| NPI number | 1376526871 |
|---|---|
| LBN Legal business name | Lonergan, Walter M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Jun 14th, 2013 - about 12 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 | 1376526871 | NPPES |
| Georgia | MEDICAID | 00401926A |
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