Dudley, Ainsworth Gatewood

Dudley, Ainsworth Gatewood is an sole proprietor health care provider with primary practice located at 401 S Lee St , Americus GA 31709-3917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Dudley, Ainsworth Gatewood can be contacted via phone (229) 924-8841.

Contact Information

Primary practice address
401 S Lee St Americus GA 31709-3917
Phone: (229) 924-8841
Fax: (229) 924-8857
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 14046 Georgia

Profile Details

NPI number 1417060112
LBN Legal business name Dudley, Ainsworth Gatewood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated May 1st, 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 1417060112 NPPES
Georgia MEDICAID 000014605G
Georgia Other 52025110-001

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