Ector, Gerren

Ector, Gerren is an individual health care provider with primary practice located at 193 N Park Trl Suite 100, Stockbridge GA 30281-7373. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ector, Gerren can be contacted via phone (770) 389-0116.

Contact Information

Primary practice address
193 N Park Trl Suite 100 Stockbridge GA 30281-7373
Phone: (770) 389-0116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 69581 Georgia

Profile Details

NPI number 1457671562
LBN Legal business name Ector, Gerren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2010
Last updated Mar 7th, 2023 - about 3 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 1457671562 NPPES
Georgia Other 69581 STATE LICENSE
Georgia MEDICAID 003133545A STATE LICENSE

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