Azalea Womens Center, Pc

LBN: Azalea Womens Center, Pc
Azalea Womens Center, Pc is an health care organization with primary practice located at 2307 N Patterson St , Valdosta GA 31602-2510. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Azalea Womens Center, Pc can be contacted via phone (229) 242-8888, or through Sharon, John Michael via phone (229) 242-8888.

Contact Information

Primary practice address
2307 N Patterson St Valdosta GA 31602-2510
Phone: (229) 242-8888
Fax: (229) 242-0069
Website:
Map and Directions
Authorized official contact:
Name: Sharon, John Michael Doctor of Medicine (MD)
Phone: (229) 242-8888

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 040845 Georgia

Profile Details

NPI number 1710194097
LBN Legal business name Azalea Womens Center, Pc
DBA Doing business as
Authorized official Sharon, John Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Nov 6th, 2012 - about 12 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 1710194097 NPPES
Georgia MEDICAID 300035443A
Georgia Other 3948

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