Siegel, Gary Edward
Siegel, Gary Edward is an individual health care provider with primary practice located at 1700 Medical Way , Snellville GA 30078-2195. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Siegel, Gary Edward can be contacted via phone (770) 979-9996.Contact Information
Primary practice address
1700 Medical Way
Snellville GA 30078-2195
Phone: (770) 979-9996
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036289 | Georgia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 036289 | Georgia |
Profile Details
| NPI number | 1548241151 |
|---|---|
| LBN Legal business name | Siegel, Gary Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Jun 28th, 2010 - about 15 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 | 1548241151 | NPPES |
| Georgia | MEDICAID | 000543661G | |
| Georgia | MEDICAID | 000543661I | |
| Georgia | Other | 050048443 |
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