Eastside Gynecology

LBN: Athens Gynecology Pc
Eastside Gynecology is an health care organization with primary practice located at 1270 Prince Avenue Suite 202, Athens GA 30606. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. Athens Gynecology Pc can be contacted via phone (706) 548-4424, or through Kelley, Robert Earl via phone (706) 548-4424.

Contact Information

Primary practice address
1270 Prince Avenue Suite 202 Athens GA 30606
Phone: (706) 548-4424
Fax: (706) 548-4880
Website:
Map and Directions
Authorized official contact:
Name: Kelley, Robert Earl Doctor of Medicine (MD)
Phone: (706) 548-4424

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X

Profile Details

NPI number 1215132527
LBN Legal business name Athens Gynecology Pc
DBA Doing business as Eastside Gynecology
Authorized official Kelley, Robert Earl Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2007
Last updated Apr 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215132527 NPPES
Georgia MEDICAID 000084763B

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