Ross, Mary Kay

Ross, Mary Kay is an individual health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31404-6220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Ross, Mary Kay can be contacted via phone (912) 350-3849.

Contact Information

Primary practice address
4700 Waters Ave Savannah GA 31404-6220
Phone: (912) 350-3849
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 55437 Georgia

Profile Details

NPI number 1124071998
LBN Legal business name Ross, Mary Kay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 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 1124071998 NPPES
Georgia MEDICAID 000727504B
Georgia MEDICAID Q21432
Georgia Other 000727504B
Georgia Other 215114
Georgia Other N362168
Georgia Other 10064506

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