Miles, Marmaduke Sidney
Miles, Marmaduke Sidney is an sole proprietor health care provider with primary practice located at 23 E 38Th St , Savannah GA 31401-8560. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Miles, Marmaduke Sidney can be contacted via phone (912) 233-1312.Contact Information
Primary practice address
23 E 38Th St
Savannah GA 31401-8560
Phone: (912) 233-1312
Fax: (912) 447-5661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW002658 | Georgia |
Profile Details
| NPI number | 1356497192 |
|---|---|
| LBN Legal business name | Miles, Marmaduke Sidney |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1356497192 | NPPES |
| Georgia | MEDICAID | 000847591B |
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