Infection Specialists Of Middle Georgia, Llc
LBN: Infection Specialists Of Middle Georgia, Llc
Infection Specialists Of Middle Georgia, Llc is an health care organization with primary practice located at 1420 Watson Blvd , Warner Robins GA 31093-3446. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is the primary health care specialty.
Infection Specialists Of Middle Georgia, Llc can be contacted via phone (478) 922-5122, or through Ogunsakin, Modupe Oluwatoyin via phone (478) 922-5122.
Contact Information
Primary practice address
1420 Watson Blvd
Warner Robins GA 31093-3446
Phone: (478) 922-5122
Fax: (478) 922-5221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 55136 | Georgia |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 55136 | Georgia |
Profile Details
| NPI number | 1700011244 |
|---|---|
| LBN Legal business name | Infection Specialists Of Middle Georgia, Llc |
| DBA Doing business as | |
| Authorized official | Ogunsakin, Modupe Oluwatoyin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 28th, 2009 |
| Last updated | Jun 28th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700011244 | NPPES |
| Georgia | MEDICAID | 721242214A |
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