Solis, Maurice M

Solis, Maurice M is an individual health care provider with primary practice located at 2409 N Patterson St Suite 230, Valdosta GA 31602-2512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Solis, Maurice M can be contacted via phone (229) 259-4369.

Contact Information

Primary practice address
2409 N Patterson St Suite 230 Valdosta GA 31602-2512
Fax: (229) 433-6513
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 030673 Georgia

Profile Details

NPI number 1215976105
LBN Legal business name Solis, Maurice M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Sep 9th, 2014 - about 12 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 1215976105 NPPES
Georgia Other 083704148 TRICARE
Georgia Other 770002707 TRICARE
Georgia MEDICAID 00366528D TRICARE
Georgia Other 52027849 TRICARE

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