Ensign Family Medicine Llc

LBN: Ensign Family Medicine Llc
Ensign Family Medicine Llc is an health care organization with primary practice located at 1302 Plant Ave , Waycross GA 31501-3537. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Ensign Family Medicine Llc can be contacted via phone (912) 490-5080, or through Stormant, Shad via phone (912) 490-5080.

Contact Information

Primary practice address
1302 Plant Ave Waycross GA 31501-3537
Phone: (912) 490-5080
Fax: (912) 490-5081
Website:
Map and Directions
Authorized official contact:
Name: Stormant, Shad Doctor of Medicine (MD)
Phone: (912) 490-5080

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1770224495
LBN Legal business name Ensign Family Medicine Llc
DBA Doing business as
Authorized official Stormant, Shad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2022
Last updated Sep 28th, 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.

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