Mainor, Byron

Mainor, Byron is an individual health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31404-6220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mainor, Byron can be contacted via phone (912) 350-3849.

Contact Information

Primary practice address
4700 Waters Ave Savannah GA 31404-6220
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 52282 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 52282 Georgia

Profile Details

NPI number 1134171804
LBN Legal business name Mainor, Byron
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 7th, 2023 - 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 1134171804 NPPES
Georgia Other 843287 BLUE CROSS BLUE SHIELD
Georgia Other 10064466 BLUE CROSS BLUE SHIELD
Georgia MEDICAID 942788011A BLUE CROSS BLUE SHIELD
Georgia Other N355443 BLUE CROSS BLUE SHIELD
Georgia Other 942788011A BLUE CROSS BLUE SHIELD
Georgia MEDICAID Q0016E BLUE CROSS BLUE SHIELD

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