Gwathney, Miriam P

Gwathney, Miriam P is an individual health care provider with primary practice located at 1057 Main St , Forest Park GA 30297-1482. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gwathney, Miriam P can be contacted via phone (404) 301-4555.

Contact Information

Primary practice address
1057 Main St Forest Park GA 30297-1482
Phone: (404) 301-4555
Fax: (404) 301-4482
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS8157 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 063343 Georgia

Profile Details

NPI number 1881698546
LBN Legal business name Gwathney, Miriam P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated May 2nd, 2023 - about 3 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 1881698546 NPPES
Florida MEDICAID 261406500

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