Gina W Roberts

LBN: Gina W Roberts
Gina W Roberts is an health care organization with primary practice located at 146 S Tallahassee St , Hazlehurst GA 31539-6457. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Gina W Roberts can be contacted via phone (912) 375-4531, or through Roberts, Gina W via phone (912) 375-4531.

Contact Information

Primary practice address
146 S Tallahassee St Hazlehurst GA 31539-6457
Phone: (912) 375-4531
Fax: (912) 375-4532
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Gina W Doctor of Dental Surgery (DDS)
Phone: (912) 375-4531

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10748 Georgia

Profile Details

NPI number 1962675397
LBN Legal business name Gina W Roberts
DBA Doing business as
Authorized official Roberts, Gina W Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2008
Last updated Apr 7th, 2008 - about 16 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 1962675397 NPPES
Other 1861601882 INDIVIDUAL NPI
MEDICAID 00386636B INDIVIDUAL NPI

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