Killorin, Edward Wylly
Killorin, Edward Wylly is an individual health care provider with primary practice located at 1538 13Th Avenue Bld A, Columbus GA 31901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Killorin, Edward Wylly can be contacted via phone (706) 323-4000.Contact Information
Primary practice address
1538 13Th Avenue Bld A
Columbus GA 31901
Phone: (706) 323-4000
Fax: (706) 323-4848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 032219 | Georgia |
Profile Details
| NPI number | 1013981968 |
|---|---|
| LBN Legal business name | Killorin, Edward Wylly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Feb 25th, 2010 - about 16 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 | 1013981968 | NPPES |
| Georgia | MEDICAID | 005420778 |
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