Medlock Surgical Center Llc

LBN: Medlock Surgical Center Llc
Medlock Surgical Center Llc is an health care organization with primary practice located at 10700 Medlock Bridge Rd Ste 101 , Johns Creek GA 30097-8455. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Medlock Surgical Center Llc can be contacted via phone (770) 455-4600, or through Macon, Philip F via phone (770) 455-4600.

Contact Information

Primary practice address
10700 Medlock Bridge Rd Ste 101 Johns Creek GA 30097-8455
Phone: (770) 455-4600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Macon, Philip F Doctor of Medicine (MD)
Phone: (770) 455-4600

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 11414 Georgia

Profile Details

NPI number 1063721785
LBN Legal business name Medlock Surgical Center Llc
DBA Doing business as
Authorized official Macon, Philip F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2010
Last updated Sep 29th, 2010 - about 14 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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