Stysly, Bret Keenan

Stysly, Bret Keenan is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Stysly, Bret Keenan can be contacted via phone (203) 430-0624.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (203) 430-0624
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 73402 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 73402 Georgia

Profile Details

NPI number 1104188416
LBN Legal business name Stysly, Bret Keenan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Aug 27th, 2015 - about 11 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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