Colorectal Surgery Associates P C

LBN: Colorectal Surgery Associates P C
Colorectal Surgery Associates P C is an health care organization with primary practice located at 240 Sheraton Blvd , Macon GA 31210-1358. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as the primary health care specialty. Colorectal Surgery Associates P C can be contacted via phone (478) 471-1943, or through Brewer, Douglas Alan via phone (478) 471-1943.

Contact Information

Primary practice address
240 Sheraton Blvd Macon GA 31210-1358
Phone: (478) 471-1943
Fax: (478) 475-9780
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Douglas Alan
Phone: (478) 471-1943

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 38696 Georgia
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 005329 Georgia

Profile Details

NPI number 1801083811
LBN Legal business name Colorectal Surgery Associates P C
DBA Doing business as
Authorized official Brewer, Douglas Alan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2007
Last updated Feb 5th, 2018 - about 6 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 1801083811 NPPES
Georgia MEDICAID 000622916B
Georgia MEDICAID 300032589D

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