Gorman, William Carter

Gorman, William Carter is an sole proprietor health care provider with primary practice located at 470 N Clayton St Suite 101, Lawrenceville GA 30045-4872. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Gorman, William Carter can be contacted via phone (770) 963-2438.

Contact Information

Primary practice address
470 N Clayton St Suite 101 Lawrenceville GA 30045-4872
Phone: (770) 963-2438
Fax: (770) 963-0166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 12140 Georgia

Profile Details

NPI number 1265594964
LBN Legal business name Gorman, William Carter
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2006
Last updated Jul 9th, 2007 - about 19 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 1265594964 NPPES
Georgia MEDICAID 00032227A

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