Lyles, Craig R.

Lyles, Craig R. is an sole proprietor health care provider with primary practice located at 425 Broad St Se , Gainesville GA 30501-3751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lyles, Craig R. can be contacted via phone (770) 718-9776.

Contact Information

Primary practice address
425 Broad St Se Gainesville GA 30501-3751
Phone: (770) 718-9776
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 00025981 Alabama

Profile Details

NPI number 1801871199
LBN Legal business name Lyles, Craig R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2005
Last updated Sep 3rd, 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 1801871199 NPPES
Georgia MEDICAID 553281085B
Georgia MEDICAID 009980095
Georgia Other P00725554

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