Miller, Gordon Chason
Miller, Gordon Chason is an sole proprietor health care provider with primary practice located at 1506 E Evans St , Bainbridge GA 39819-4364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Miller, Gordon Chason can be contacted via phone (229) 243-0740.Contact Information
Primary practice address
1506 E Evans St
Bainbridge GA 39819-4364
Phone: (229) 243-0740
Fax: (229) 243-7384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 9888 | Georgia |
Profile Details
| NPI number | 1881648681 |
|---|---|
| LBN Legal business name | Miller, Gordon Chason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Feb 7th, 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 | 1881648681 | NPPES |
| Georgia | MEDICAID | 000012757A | |
| Georgia | Other | 235747 | |
| Georgia | MEDICAID | 055001894A | |
| Georgia | Other | 063603652 |
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