Ear, Nose And Throat Clinic Of Coffee Co.

LBN: Ear, Nose And Throat Clinic Of Coffee Co.
Ear, Nose And Throat Clinic Of Coffee Co. is an health care organization with primary practice located at 312 Westside Drive , Douglas GA 31533-0312. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Ear, Nose And Throat Clinic Of Coffee Co. can be contacted via phone (912) 384-2200, or through Patterson, Amber via phone (912) 384-2200.

Contact Information

Primary practice address
312 Westside Drive Douglas GA 31533-0312
Fax: (912) 383-7992
Website:
Authorized official contact:
Name: Patterson, Amber

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 041953 Georgia

Profile Details

NPI number 1891750774
LBN Legal business name Ear, Nose And Throat Clinic Of Coffee Co.
DBA Doing business as
Authorized official Patterson, Amber
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2006
Last updated Feb 4th, 2010 - about 14 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 1891750774 NPPES
Georgia Other DE8251 MEDICARE RAILROAD GROUP ID
Georgia Other 990001864 MEDICARE RAILROAD GROUP ID
Georgia MEDICAID 300032501A MEDICARE RAILROAD GROUP ID

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