Siegel, Gary Edward

Siegel, Gary Edward is an individual health care provider with primary practice located at 1700 Medical Way , Snellville GA 30078-2195. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Siegel, Gary Edward can be contacted via phone (770) 979-9996.

Contact Information

Primary practice address
1700 Medical Way Snellville GA 30078-2195
Phone: (770) 979-9996
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036289 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036289 Georgia

Profile Details

NPI number 1548241151
LBN Legal business name Siegel, Gary Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jun 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548241151 NPPES
Georgia MEDICAID 000543661G
Georgia MEDICAID 000543661I
Georgia Other 050048443

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