Nicholas A Pietrzak, Md, Llc

LBN: Nicholas A Pietrzak, Md, Llc
Nicholas A Pietrzak, Md, Llc is an health care organization with primary practice located at 3951 Ridge Ave Ste B, Macon GA 31210-5050. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Nicholas A Pietrzak, Md, Llc can be contacted via phone (478) 757-1934, or through Cook, Kim via phone (478) 757-1934.

Contact Information

Primary practice address
3951 Ridge Ave Ste B Macon GA 31210-5050
Phone: (478) 757-1934
Fax: (478) 757-1596
Website:
Map and Directions
Authorized official contact:
Name: Cook, Kim
Phone: (478) 757-1934

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 044308 Georgia

Profile Details

NPI number 1285837716
LBN Legal business name Nicholas A Pietrzak, Md, Llc
DBA Doing business as
Authorized official Cook, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2007
Last updated Jun 7th, 2010 - about 15 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 1285837716 NPPES
Georgia MEDICAID 00834413D

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