Myrthil, Gary
Myrthil, Gary is an sole proprietor health care provider with primary practice located at 107 Osigian Blvd Ste 100 , Warner Robins GA 31088-7891. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Myrthil, Gary can be contacted via phone (478) 953-2212.Contact Information
Primary practice address
107 Osigian Blvd Ste 100
Warner Robins GA 31088-7891
Phone: (478) 953-2212
Fax: (478) 953-2228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 038886 | Georgia |
Profile Details
| NPI number | 1073547766 |
|---|---|
| LBN Legal business name | Myrthil, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | May 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073547766 | NPPES |
| Georgia | MEDICAID | 000620749B |
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