Brandon, Richard Lyle

Brandon, Richard Lyle is an individual health care provider with primary practice located at 202 Lakeshore Dr Suite A, Saint Marys GA 31558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Brandon, Richard Lyle can be contacted via phone (912) 673-1771.

Contact Information

Primary practice address
202 Lakeshore Dr Suite A Saint Marys GA 31558
Fax: (912) 673-1811
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 014890 Georgia

Profile Details

NPI number 1588600530
LBN Legal business name Brandon, Richard Lyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Feb 25th, 2009 - about 17 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 1588600530 NPPES
Georgia MEDICAID 00379904A

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