Goco Surgical Associates Pllc

LBN: Goco Surgical Associates Pllc
Goco Surgical Associates Pllc is an health care organization with primary practice located at 760 Highland Oaks Dr Suite 200, Winston Salem NC 27103-7105. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Goco Surgical Associates Pllc can be contacted via phone (336) 768-4710, or through Kellam, Lori G via phone (336) 659-9440.

Contact Information

Primary practice address
760 Highland Oaks Dr Suite 200 Winston Salem NC 27103-7105
Phone: (336) 768-4710
Fax: (336) 659-9845
Website:
Map and Directions
Authorized official contact:
Name: Kellam, Lori G Doctor of Medicine (MD)
Phone: (336) 659-9440

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9600966 North Carolina

Profile Details

NPI number 1538210760
LBN Legal business name Goco Surgical Associates Pllc
DBA Doing business as
Authorized official Kellam, Lori G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2007
Last updated Apr 13th, 2012 - about 13 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 1538210760 NPPES
North Carolina Other 0191H BCBS OF NC
North Carolina MEDICAID 890191H BCBS OF NC

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