Dolezal, Samuel Joseph

Dolezal, Samuel Joseph is an sole proprietor health care provider with primary practice located at 3320 Old Jefferson Rd Ste 600 , Athens GA 30607-1463. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dolezal, Samuel Joseph can be contacted via phone (706) 353-2990.

Contact Information

Primary practice address
3320 Old Jefferson Rd Ste 600 Athens GA 30607-1463
Phone: (706) 353-2990
Fax: (706) 353-2992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 65020 Minnesota

Profile Details

NPI number 1326499187
LBN Legal business name Dolezal, Samuel Joseph
Credentials MD, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2016
Last updated Nov 22nd, 2022 - about 4 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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