Crisp General Internal Medicine Inc

LBN: Crisp General Internal Medicine Inc
Crisp General Internal Medicine Inc is an health care organization with primary practice located at 416 E 4Th Ave Ste B , Cordele GA 31015-3729. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Crisp General Internal Medicine Inc can be contacted via phone (229) 273-8501, or through Holloway, Kevin via phone (229) 273-4989.

Contact Information

Primary practice address
416 E 4Th Ave Ste B Cordele GA 31015-3729
Phone: (229) 273-8501
Fax: (229) 273-2515
Website:
Map and Directions
Authorized official contact:
Name: Holloway, Kevin Doctor of Medicine (MD)
Phone: (229) 273-4989

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 060593 Georgia

Profile Details

NPI number 1669632014
LBN Legal business name Crisp General Internal Medicine Inc
DBA Doing business as
Authorized official Holloway, Kevin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2008
Last updated Jun 10th, 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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