Dermatology Specialists Of Georgia, Llc
LBN: Dermatology Specialists Of Georgia, Llc
Dermatology Specialists Of Georgia, Llc is an health care organization with primary practice located at 658 N Chase Street Unit 102 , Athens GA 30601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Dermatology Specialists Of Georgia, Llc can be contacted via phone (877) 231-3376, or through Ward, Jon R via phone (850) 233-3376.
Contact Information
Primary practice address
658 N Chase Street Unit 102
Athens GA 30601
Phone: (877) 231-3376
Fax: (850) 522-8354
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 18041 | Georgia |
Profile Details
NPI number | 1437298957 |
---|---|
LBN Legal business name | Dermatology Specialists Of Georgia, Llc |
DBA Doing business as | |
Authorized official | Ward, Jon R Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 5th, 2007 |
Last updated | Sep 2nd, 2022 - about 2 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 | 1437298957 | NPPES |
Georgia | Other | 30926 | WELLCARE |
Georgia | Other | 10059273 | WELLCARE |
Georgia | MEDICAID | 000084961B | WELLCARE |
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