Affiliated Medical Group, Pllc
LBN: Affiliated Medical Group, Pllc
Affiliated Medical Group, Pllc is an health care organization with primary practice located at 39 Office Park Dr Ste A , Jacksonville NC 28546-3220. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Affiliated Medical Group, Pllc can be contacted via phone (910) 939-0724, or through Ahlberg, David Joseph via phone (910) 939-0724.
Contact Information
Primary practice address
39 Office Park Dr Ste A
Jacksonville NC 28546-3220
Phone: (910) 939-0724
Fax: (910) 333-9145
Website:
Authorized official contact:
Name: Ahlberg, David Joseph Doctor of Medicine (MD)
Phone: (910) 939-0724
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1922280700 |
|---|---|
| LBN Legal business name | Affiliated Medical Group, Pllc |
| DBA Doing business as | |
| Authorized official | Ahlberg, David Joseph Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 3rd, 2007 |
| Last updated | Oct 17th, 2023 - about 2 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 | 1922280700 | NPPES |
| North Carolina | MEDICAID | 5908381 |
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