Mandel, Samuel David

Mandel, Samuel David is an individual health care provider with primary practice located at 777 Hemlock St , Macon GA 31201-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mandel, Samuel David can be contacted via phone (478) 633-1000.

Contact Information

Primary practice address
777 Hemlock St Macon GA 31201-2102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 018523 Georgia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 18523 Georgia

Profile Details

NPI number 1215900881
LBN Legal business name Mandel, Samuel David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Oct 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215900881 NPPES
Georgia MEDICAID 00229578E
Georgia Other 050082957

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