Lytle, Mary Carol
Lytle, Mary Carol is an individual health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31404-6220. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Lytle, Mary Carol can be contacted via phone (912) 350-8180.Contact Information
Primary practice address
4700 Waters Ave
Savannah GA 31404-6220
Phone: (912) 350-8180
Fax: (912) 350-7221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 056132 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 056132 | Georgia |
Profile Details
| NPI number | 1790720290 |
|---|---|
| LBN Legal business name | Lytle, Mary Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Jan 26th, 2022 - about 4 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 | 1790720290 | NPPES |
| Georgia | MEDICAID | 511379152A | |
| Georgia | Other | 10065021 | |
| Georgia | Other | 52172893-002 | |
| Georgia | MEDICAID | G56132 | |
| Georgia | Other | 349798 |
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