Potyondy, Lewis L

Potyondy, Lewis L is an individual health care provider with primary practice located at 4280 N Valdosta Rd , Valdosta GA 31602-6814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Potyondy, Lewis L can be contacted via phone (229) 671-2066.

Contact Information

Primary practice address
4280 N Valdosta Rd Valdosta GA 31602-6814
Phone: (229) 671-2066
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 34863 Arizona
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 059856 Georgia

Profile Details

NPI number 1841269891
LBN Legal business name Potyondy, Lewis L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 1st, 2010 - about 14 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 1841269891 NPPES
Georgia MEDICAID 910127566B
Georgia MEDICAID 910127566C
Georgia MEDICAID 994518

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