Theisen, John Graham

Theisen, John Graham is an individual health care provider with primary practice located at 810 Chafee Avenue , Augusta GA 30904. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is his primary health care specialty. Theisen, John Graham can be contacted via phone (706) 722-4434.

Contact Information

Primary practice address
810 Chafee Avenue Augusta GA 30904
Phone: (706) 722-4434
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 078687 Georgia

Profile Details

NPI number 1861734378
LBN Legal business name Theisen, John Graham
Credentials M.D., M.S.C.R.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2013
Last updated Jul 21st, 2022 - about 4 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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