Gavras, Jimmie G

Gavras, Jimmie G is an individual health care provider with primary practice located at 188 Hospital Dr Ste 205 , Fairhope AL 36532-2038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gavras, Jimmie G can be contacted via phone (251) 990-9191.

Contact Information

Primary practice address
188 Hospital Dr Ste 205 Fairhope AL 36532-2038
Phone: (251) 990-9191
Fax: (251) 990-9189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 17506 Alabama

Profile Details

NPI number 1649255886
LBN Legal business name Gavras, Jimmie G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Nov 10th, 2020 - about 6 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 1649255886 NPPES
Alabama Other 92799 BCBS OF ALABAMA PROVIDER
Alabama MEDICAID 000092799 BCBS OF ALABAMA PROVIDER

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