Oliver, Alyce M

Oliver, Alyce M is an sole proprietor health care provider with primary practice located at 1120 15Th St Bi5083, Augusta GA 30912-0004. She recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Oliver, Alyce M can be contacted via phone (706) 721-2981.

Contact Information

Primary practice address
1120 15Th St Bi5083 Augusta GA 30912-0004
Phone: (706) 721-2981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 059298 Georgia
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 059298 Georgia

Profile Details

NPI number 1255352308
LBN Legal business name Oliver, Alyce M
Credentials PHD, MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2006
Last updated Nov 7th, 2012 - about 13 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 1255352308 NPPES
Georgia MEDICAID 575897337A
Georgia MEDICAID G59298
Georgia Other 52222473-001

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