Csra Medical Associates

LBN: Csra Medical Associates
Csra Medical Associates is an health care organization with primary practice located at 2123 Wrightsboro Rd , Augusta GA 30904-4777. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Csra Medical Associates can be contacted via phone (706) 736-5244, or through Washington, Merryll Lynnette via phone (706) 736-8519.

Contact Information

Primary practice address
2123 Wrightsboro Rd Augusta GA 30904-4777
Phone: (706) 736-5244
Fax: (706) 736-5246
Website:
Map and Directions
Authorized official contact:
Name: Washington, Merryll Lynnette
Phone: (706) 736-8519

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1164530689
LBN Legal business name Csra Medical Associates
DBA Doing business as
Authorized official Washington, Merryll Lynnette
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Dec 14th, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164530689 NPPES
South Carolina MEDICAID GPA645
South Carolina MEDICAID 85001833G

Popular Providers