The Roderique Centre For Hand And Upper Extremity Surgery

LBN: Jim W. Roderique, M.D., P.C.
The Roderique Centre For Hand And Upper Extremity Surgery is an health care organization with primary practice located at 955 Spring St Nw , Atlanta GA 30309-3821. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as the primary health care specialty. Jim W. Roderique, M.D., P.C. can be contacted via phone (404) 872-4263, or through Caudell, Carol T. via phone (404) 872-4263.

Contact Information

Primary practice address
955 Spring St Nw Atlanta GA 30309-3821
Phone: (404) 872-4263
Fax: (404) 873-2455
Website:
Map and Directions
Authorized official contact:
Name: Caudell, Carol T.
Phone: (404) 872-4263

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X

Profile Details

NPI number 1619998721
LBN Legal business name Jim W. Roderique, M.D., P.C.
DBA Doing business as The Roderique Centre For Hand And Upper Extremity Surgery
Authorized official Caudell, Carol T.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Aug 22nd, 2020 - about 4 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 1619998721 NPPES
Georgia MEDICAID 55002692A

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