Souza, John W

Souza, John W is an sole proprietor health care provider with primary practice located at 1006 Hillcrest Pkwy Ste 1 , Dublin GA 31021-4259. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Souza, John W can be contacted via phone (855) 811-6362.

Contact Information

Primary practice address
1006 Hillcrest Pkwy Ste 1 Dublin GA 31021-4259
Phone: (855) 811-6362
Fax: (478) 277-0276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 39475 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 39475 Georgia

Profile Details

NPI number 1699718056
LBN Legal business name Souza, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated May 24th, 2021 - about 5 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 1699718056 NPPES
Georgia MEDICAID 000786354G

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