Medsouth Associates Pc
LBN: Medsouth Associates Pc
Medsouth Associates Pc is an health care organization with primary practice located at 483 Upper Riverdale Rd Sw Ste G , Riverdale GA 30274-2584. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Medsouth Associates Pc can be contacted via phone (770) 996-9400, or through Wright, Richard via phone (770) 996-9400.
Contact Information
Primary practice address
483 Upper Riverdale Rd Sw Ste G
Riverdale GA 30274-2584
Phone: (770) 996-9400
Fax: (770) 991-2918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 022956 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036647 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 046927 | Georgia |
Profile Details
| NPI number | 1508057589 |
|---|---|
| LBN Legal business name | Medsouth Associates Pc |
| DBA Doing business as | |
| Authorized official | Wright, Richard |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Mar 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508057589 | NPPES |
| Georgia | MEDICAID | 000897949A | |
| Georgia | MEDICAID | 000252238A | |
| Georgia | MEDICAID | 000892581F | |
| Georgia | Other | 003004 | |
| Georgia | Other | 149377 | |
| Georgia | Other | 855141 |
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