Highlands Anaplastology Associates

LBN: Otis Boyd Gardo Jr
Highlands Anaplastology Associates is an health care organization with primary practice located at 1007 Grove Rd Suite E, Greenville SC 29605-4630. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Otis Boyd Gardo Jr can be contacted via phone (864) 232-3008, or through Gardo, Rebecca J. via phone (864) 232-3008.

Contact Information

Primary practice address
1007 Grove Rd Suite E Greenville SC 29605-4630
Phone: (864) 232-3008
Fax: (864) 845-8556
Website:
Map and Directions
Authorized official contact:
Name: Gardo, Rebecca J.
Phone: (864) 232-3008

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1093983215
LBN Legal business name Otis Boyd Gardo Jr
DBA Doing business as Highlands Anaplastology Associates
Authorized official Gardo, Rebecca J.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2008
Last updated Feb 3rd, 2009 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093983215 NPPES
Georgia MEDICAID 530923946B
Georgia MEDICAID 7704873
Georgia MEDICAID DE2711

Popular Providers