Sharma, Chetan
Sharma, Chetan is an individual health care provider with primary practice located at 3778 Highway 42 , Locust Grove GA 30248-3632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sharma, Chetan can be contacted via phone (678) 610-6649.Contact Information
Primary practice address
3778 Highway 42
Locust Grove GA 30248-3632
Phone: (678) 610-6649
Fax: (678) 610-6025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 64272 | Georgia |
Profile Details
| NPI number | 1871763011 |
|---|---|
| LBN Legal business name | Sharma, Chetan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2008 |
| Last updated | Sep 26th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871763011 | NPPES |
| Georgia | MEDICAID | 003100275B |
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