Sotomayor, Gerardo L.

Sotomayor, Gerardo L. is an sole proprietor health care provider with primary practice located at 3957 Holcomb Bridge Rd Suite 100, Norcross GA 30092-5254. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sotomayor, Gerardo L. can be contacted via phone (770) 939-5102.

Contact Information

Primary practice address
3957 Holcomb Bridge Rd Suite 100 Norcross GA 30092-5254
Phone: (770) 939-5102
Fax: (770) 938-9323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 026184 Georgia

Profile Details

NPI number 1265533830
LBN Legal business name Sotomayor, Gerardo L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jun 28th, 2016 - about 10 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 1265533830 NPPES
Georgia Other 170000129 MEDICARE R.R.
Georgia Other 0511749 MEDICARE R.R.
Georgia Other 4509386 MEDICARE R.R.
Georgia Other 681004 MEDICARE R.R.
Georgia Other 0700202 MEDICARE R.R.
Georgia MEDICAID 00526512A MEDICARE R.R.

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