Ent Of South Georgia Surgery Center Llc

LBN: Ent Of South Georgia Surgery Center Llc
Ent Of South Georgia Surgery Center Llc is an health care organization with primary practice located at 2805 N Oak St , Valdosta GA 31602-5922. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Ent Of South Georgia Surgery Center Llc can be contacted via phone (229) 244-2562, or through Allen, Ronald V via phone (229) 244-2562.

Contact Information

Primary practice address
2805 N Oak St Valdosta GA 31602-5922
Phone: (229) 244-2562
Fax: (229) 249-0000
Website:
Map and Directions
Authorized official contact:
Name: Allen, Ronald V
Phone: (229) 244-2562

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1104272780
LBN Legal business name Ent Of South Georgia Surgery Center Llc
DBA Doing business as
Authorized official Allen, Ronald V
Entity Organization
Organization subpart 1 Yes
Enumeration date May 12th, 2016
Last updated May 3rd, 2017 - about 7 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 1104272780 NPPES
Georgia MEDICAID 000655146A
Georgia MEDICAID 000834589A
Georgia MEDICAID 000946668A

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