Pathway Wellness Center

LBN: Livingstone A. Rasalam, M.D. P.C.
Pathway Wellness Center is an health care organization with primary practice located at 303 Woodrow Wilson Dr , Valdosta GA 31602-2537. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Livingstone A. Rasalam, M.D. P.C. can be contacted via phone (229) 244-5000, or through Rasalam, Livingstone Ajit via phone (229) 244-5000.

Contact Information

Primary practice address
303 Woodrow Wilson Dr Valdosta GA 31602-2537
Phone: (229) 244-5000
Fax: (229) 244-0808
Website:
Map and Directions
Authorized official contact:
Name: Rasalam, Livingstone Ajit M.D.,P.C.
Phone: (229) 244-5000

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 033437 Georgia

Profile Details

NPI number 1952343634
LBN Legal business name Livingstone A. Rasalam, M.D. P.C.
DBA Doing business as Pathway Wellness Center
Authorized official Rasalam, Livingstone Ajit M.D.,P.C.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 10th, 2006
Last updated Aug 1st, 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 1952343634 NPPES
Georgia MEDICAID 00475208C

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