Azalea Center For Plastic Surgery Pc
LBN: Azalea Center For Plastic Surgery Pc
Azalea Center For Plastic Surgery Pc is an health care organization with primary practice located at 2810 N Oak St , Valdosta GA 31602-1716. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Azalea Center For Plastic Surgery Pc can be contacted via phone (229) 259-0019, or through Moore, Bridgett via phone (229) 259-0019.
Contact Information
Primary practice address
2810 N Oak St
Valdosta GA 31602-1716
Phone: (229) 259-0019
Fax: (229) 259-0209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 39418 | Georgia |
Profile Details
| NPI number | 1952431223 |
|---|---|
| LBN Legal business name | Azalea Center For Plastic Surgery Pc |
| DBA Doing business as | |
| Authorized official | Moore, Bridgett Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Feb 6th, 2014 - about 10 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 | 1952431223 | NPPES |
| Georgia | Other | 110206439 | MEDICARE RR PROVIDER # |
| Georgia | Other | 598880 | MEDICARE RR PROVIDER # |
| Georgia | MEDICAID | 00830277A | MEDICARE RR PROVIDER # |
| Georgia | Other | 511G700695 | MEDICARE RR PROVIDER # |
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