George, Garth O

George, Garth O is an individual health care provider with primary practice located at 8110 County Road 44 Leg A , Leesburg FL 34788-3704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. George, Garth O can be contacted via phone (352) 323-8868.

Contact Information

Primary practice address
8110 County Road 44 Leg A Leesburg FL 34788-3704
Phone: (352) 323-8868
Fax: (735) 232-3885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2001-00366 North Carolina
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME82112 Florida

Profile Details

NPI number 1760453286
LBN Legal business name George, Garth O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Jun 25th, 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 1760453286 NPPES
North Carolina MEDICAID 89128W6
North Carolina MEDICAID 004055500

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