Billingsley, Gary Michael

Billingsley, Gary Michael is an individual health care provider with primary practice located at 1215 W Wheeler Pkwy , Augusta GA 30909-1899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Billingsley, Gary Michael can be contacted via phone (706) 868-1906.

Contact Information

Primary practice address
1215 W Wheeler Pkwy Augusta GA 30909-1899
Fax: (706) 868-0150
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 029582 Georgia

Profile Details

NPI number 1245305549
LBN Legal business name Billingsley, Gary Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Dec 26th, 2008 - about 18 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 1245305549 NPPES
Georgia MEDICAID 00398758A

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