National Provider Identifier Database

GAMMA ADULT CARE PC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

GAMMA ADULT CARE, P.C.
107 OSIGIAN BLVD
SUITE 100
WARNER ROBINS, GA31088-7891
Phone: 478-953-2212
Fax: 478-953-2228
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for GAMMA ADULT CARE, P.C.

NPI Number 1912159062
Legal business name
LBN
GAMMA ADULT CARE, P.C.
Authorized official GARY MYRTHIL - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/21/2008
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 038886
  • GA Medicaid: 000620749B

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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