Gwendolyn Moddrell Md Pc

LBN: Gwendolyn Moddrell Md Pc
Gwendolyn Moddrell Md Pc is an health care organization with primary practice located at 247 W Main St # B , Swainsboro GA 30401-3163. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as the primary health care specialty. Gwendolyn Moddrell Md Pc can be contacted via phone (478) 237-8101, or through Moddrell, Gwendolyn via phone (478) 237-8101.

Contact Information

Primary practice address
247 W Main St # B Swainsboro GA 30401-3163
Phone: (478) 237-8101
Fax: (478) 237-8118
Website:
Map and Directions
Authorized official contact:
Name: Moddrell, Gwendolyn Doctor of Medicine (MD)
Phone: (478) 237-8101

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X

Profile Details

NPI number 1992911234
LBN Legal business name Gwendolyn Moddrell Md Pc
DBA Doing business as
Authorized official Moddrell, Gwendolyn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Aug 12th, 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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