Erdelyan, Gregory L

Erdelyan, Gregory L is an sole proprietor health care provider with primary practice located at 1104 Hospital Dr , Stockbridge GA 30281-6381. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Erdelyan, Gregory L can be contacted via phone (678) 289-2003.

Contact Information

Primary practice address
1104 Hospital Dr Stockbridge GA 30281-6381
Phone: (678) 289-2003
Fax: (678) 289-0191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35864 Georgia
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 35864 Georgia

Profile Details

NPI number 1295786234
LBN Legal business name Erdelyan, Gregory L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Sep 10th, 2012 - about 14 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 1295786234 NPPES
Georgia MEDICAID 000508362F

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