Proctor, Jeffrey G

Proctor, Jeffrey G is an individual health care provider with primary practice located at 970 Joe Frank Harris Pkwy Se Suite 260, Cartersville GA 30120-2159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Proctor, Jeffrey G can be contacted via phone (770) 607-1893.

Contact Information

Primary practice address
970 Joe Frank Harris Pkwy Se Suite 260 Cartersville GA 30120-2159
Phone: (770) 607-1893
Fax: (770) 607-2930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 043267 Georgia

Profile Details

NPI number 1902900459
LBN Legal business name Proctor, Jeffrey G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Mar 7th, 2023 - 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 1902900459 NPPES
Georgia MEDICAID 000770888A
Georgia Other 340016381

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