Advanced Surgical Specialists Of Northeast Georgia, Llc
LBN: Advanced Surgical Specialists Of Northeast Georgia, Llc
Advanced Surgical Specialists Of Northeast Georgia, Llc is an health care organization with primary practice located at 1359 Milstead Rd Ne Suite 203, Conyers GA 30012-3865. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Advanced Surgical Specialists Of Northeast Georgia, Llc can be contacted via phone (678) 413-2182, or through Robinson, Kermie Lenard via phone (678) 413-2182.
Contact Information
Primary practice address
1359 Milstead Rd Ne Suite 203
Conyers GA 30012-3865
Phone: (678) 413-2182
Fax: (678) 413-2184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 033440 | Georgia |
Profile Details
| NPI number | 1346420858 |
|---|---|
| LBN Legal business name | Advanced Surgical Specialists Of Northeast Georgia, Llc |
| DBA Doing business as | |
| Authorized official | Robinson, Kermie Lenard M.D., F.A.C.S. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 13th, 2007 |
| Last updated | Sep 5th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346420858 | NPPES |
| Georgia | MEDICAID | 000458092C | |
| Georgia | Other | DE9275 |
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