Reilly, Edward J.

Reilly, Edward J. is an individual health care provider with primary practice located at 1005 W Taylor St , Griffin GA 30223-2607. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Reilly, Edward J. can be contacted via phone (770) 227-0333.

Contact Information

Primary practice address
1005 W Taylor St Griffin GA 30223-2607
Phone: (770) 227-0333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 05269-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004794 Georgia

Profile Details

NPI number 1255350898
LBN Legal business name Reilly, Edward J.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Dec 14th, 2020 - about 5 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 1255350898 NPPES
Georgia MEDICAID 939150895A
Georgia MEDICAID 939150895B

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