Middle Georgia Pediatrics

LBN: Middle Georgia Pediatrics
Middle Georgia Pediatrics is an health care organization with primary practice located at 1508 Hardeman Ave Ste B , Macon GA 31201-1471. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Middle Georgia Pediatrics can be contacted via phone (478) 741-7371, or through Bush, Stanley Seth via phone (478) 741-7371.

Contact Information

Primary practice address
1508 Hardeman Ave Ste B Macon GA 31201-1471
Phone: (478) 741-7371
Fax: (478) 741-7372
Website:
Map and Directions
Authorized official contact:
Name: Bush, Stanley Seth Doctor of Medicine (MD)
Phone: (478) 741-7371

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 048846 Georgia

Profile Details

NPI number 1073885828
LBN Legal business name Middle Georgia Pediatrics
DBA Doing business as
Authorized official Bush, Stanley Seth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2012
Last updated Feb 8th, 2012 - about 13 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 1073885828 NPPES
Georgia MEDICAID 000872737B

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