Mcduffie Podiatry And Wound Care, Pc
LBN: Mcduffie Podiatry And Wound Care, Pc
Mcduffie Podiatry And Wound Care, Pc is an health care organization with primary practice located at 544 W Hill St , Thomson GA 30824-2117. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as the primary health care specialty.
Mcduffie Podiatry And Wound Care, Pc can be contacted via phone (706) 595-8787, or through Havrilla, George S via phone (706) 595-8787.
Contact Information
Primary practice address
544 W Hill St
Thomson GA 30824-2117
Phone: (706) 595-8787
Fax: (706) 595-8757
Website:
Authorized official contact:
Name: Havrilla, George S Doctor of Podiatric Medicine (DPM)
Phone: (706) 595-8787
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 000848 | Georgia |
Profile Details
| NPI number | 1760670673 |
|---|---|
| LBN Legal business name | Mcduffie Podiatry And Wound Care, Pc |
| DBA Doing business as | |
| Authorized official | Havrilla, George S Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2007 |
| Last updated | Feb 6th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760670673 | NPPES |
| Georgia | Other | 10041458 | AMERIGROUP |
| Georgia | Other | 322007 | AMERIGROUP |
| Georgia | MEDICAID | 618552906A | AMERIGROUP |
| Georgia | Other | GRP6239 | AMERIGROUP |
| Georgia | Other | 52773057-003 | AMERIGROUP |
| Georgia | Other | 10581911 | AMERIGROUP |
| Georgia | Other | 5467067 | AMERIGROUP |
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