East Georgia Medical Assoc. P C

LBN: East Georgia Medical Assoc. P C
East Georgia Medical Assoc. P C is an health care organization with primary practice located at 23 Lester Rd , Statesboro GA 30458-4700. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. East Georgia Medical Assoc. P C can be contacted via phone (912) 764-7900, or through Smith, Emory P via phone (912) 764-7900.

Contact Information

Primary practice address
23 Lester Rd Statesboro GA 30458-4700
Phone: (912) 764-7900
Fax: (912) 489-3380
Website:
Map and Directions
Authorized official contact:
Name: Smith, Emory P Doctor of Medicine (MD)
Phone: (912) 764-7900

Health care specialties

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

Profile Details

NPI number 1366561862
LBN Legal business name East Georgia Medical Assoc. P C
DBA Doing business as
Authorized official Smith, Emory P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1366561862 NPPES
Georgia MEDICAID 00302794B

Popular Providers