Nyce, Mark R

Nyce, Mark R is an sole proprietor health care provider with primary practice located at 1139 Lexington Ave , Savannah GA 31404-5502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Nyce, Mark R can be contacted via phone (912) 303-4200.

Contact Information

Primary practice address
1139 Lexington Ave Savannah GA 31404-5502
Fax: (912) 790-2701
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 057407 Georgia

Profile Details

NPI number 1447205695
LBN Legal business name Nyce, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Feb 13th, 2015 - about 10 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 1447205695 NPPES
Georgia Other 10BDHKK MEDICARE PTAN
Georgia MEDICAID 508964294A MEDICARE PTAN

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