Anthony, Robert
Anthony, Robert is an individual health care provider with primary practice located at 606 S Greenwood St , Lagrange GA 30240-3128. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anthony, Robert can be contacted via phone (706) 882-5551.Contact Information
Primary practice address
606 S Greenwood St
Lagrange GA 30240-3128
Phone: (706) 882-5551
Fax: (706) 812-8558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8565 | Georgia |
Profile Details
| NPI number | 1386680734 |
|---|---|
| LBN Legal business name | Anthony, Robert |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 9th, 2012 - about 14 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 | 1386680734 | NPPES |
| Georgia | MEDICAID | 000177262A |
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