Olson, Gary W.

Olson, Gary W. is an individual health care provider with primary practice located at 1436 Broadrick Dr Suite B, Dalton GA 30720-3009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Olson, Gary W. can be contacted via phone (706) 226-3434.

Contact Information

Primary practice address
1436 Broadrick Dr Suite B Dalton GA 30720-3009
Phone: (706) 226-3434
Fax: (706) 226-4820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 020465 Georgia

Profile Details

NPI number 1861426983
LBN Legal business name Olson, Gary W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jan 25th, 2024 - about last year

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 1861426983 NPPES
Georgia MEDICAID 000264745A
Georgia Other 335239
Georgia Other 4141465
Georgia Other 01410445
Georgia Other P00859441

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