Deal, Michael C

Deal, Michael C is an sole proprietor health care provider with primary practice located at 112 Hill Pond Ln , Statesboro GA 30458-0872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Deal, Michael C can be contacted via phone (912) 489-3325.

Contact Information

Primary practice address
112 Hill Pond Ln Statesboro GA 30458-0872
Phone: (912) 489-3325
Fax: (912) 489-7334
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 029623 Georgia

Profile Details

NPI number 1669538815
LBN Legal business name Deal, Michael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Sep 8th, 2016 - about 10 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 1669538815 NPPES
Georgia Other 354428 WELLCARE
Georgia MEDICAID 000372391G WELLCARE
Georgia Other 10051619 WELLCARE
Georgia Other 58-2643952 WELLCARE

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