Lytle, Mary Carol

Lytle, Mary Carol is an individual health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31404-6220. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Lytle, Mary Carol can be contacted via phone (912) 350-8180.

Contact Information

Primary practice address
4700 Waters Ave Savannah GA 31404-6220
Phone: (912) 350-8180
Fax: (912) 350-7221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 056132 Georgia
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 056132 Georgia

Profile Details

NPI number 1790720290
LBN Legal business name Lytle, Mary Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jan 26th, 2022 - about 2 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 1790720290 NPPES
Georgia MEDICAID 511379152A
Georgia Other 10065021
Georgia Other 52172893-002
Georgia MEDICAID G56132
Georgia Other 349798

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