Groves, E Richard
Groves, E Richard is an individual health care provider with primary practice located at 800 Gordon Ave , Thomasville GA 31792-6611. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Groves, E Richard can be contacted via phone (229) 226-1338.Contact Information
Primary practice address
800 Gordon Ave
Thomasville GA 31792-6611
Phone: (229) 226-1338
Fax: (229) 226-4888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | POD000551 | Georgia |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO1679 | Florida |
Profile Details
| NPI number | 1285749747 |
|---|---|
| LBN Legal business name | Groves, E Richard |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Aug 12th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285749747 | NPPES |
| Georgia | Other | 480028811 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 000368013A | RAILROAD MEDICARE |
| Georgia | Other | 0509810001 | RAILROAD MEDICARE |
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