David W Retterbush Md Pc
LBN: David W Retterbush Md Pc
David W Retterbush Md Pc is an health care organization with primary practice located at 403 Cowart Ave , Valdosta GA 31602-2635. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty.
David W Retterbush Md Pc can be contacted via phone (229) 244-0034, or through Retterbush, David William via phone (229) 244-0034.
Contact Information
Primary practice address
403 Cowart Ave
Valdosta GA 31602-2635
Phone: (229) 244-0034
Fax: (229) 244-1871
Website:
Authorized official contact:
Name: Retterbush, David William Doctor of Medicine (MD)
Phone: (229) 244-0034
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20145 | Georgia |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 51883 | Florida |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 19642 | Kentucky |
Profile Details
NPI number | 1912992587 |
---|---|
LBN Legal business name | David W Retterbush Md Pc |
DBA Doing business as | |
Authorized official | Retterbush, David William Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 20th, 2005 |
Last updated | Jun 19th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912992587 | NPPES |
Georgia | Other | 525023 | BS OF GA |
Georgia | Other | 511G700378 | BS OF GA |
Georgia | MEDICAID | 000193278A | BS OF GA |
Georgia | Other | 020022209 | BS OF GA |
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