Simon, Gary S.

Simon, Gary S. is an individual health care provider with primary practice located at 2041 Mesa Valley Way Suite 100, Austell GA 30106-8157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Simon, Gary S. can be contacted via phone (770) 944-1100.

Contact Information

Primary practice address
2041 Mesa Valley Way Suite 100 Austell GA 30106-8157
Fax: (770) 944-6469
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 040235 Georgia

Profile Details

NPI number 1467440107
LBN Legal business name Simon, Gary S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Feb 5th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467440107 NPPES
Georgia MEDICAID 000666311H
Georgia MEDICAID 000666311I
Georgia MEDICAID 000666311C
Georgia MEDICAID 000666311G

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