Palmyra Surgical, Llc (Macon)

LBN: Palmyra Surgical, Llc
Palmyra Surgical, Llc (Macon) is an health care organization with primary practice located at 420 Charter Blvd Suite 103, Macon GA 31210-4854. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Palmyra Surgical, Llc can be contacted via phone (229) 432-8484, or through Bagnato, Vito John via phone (229) 432-8484.

Contact Information

Primary practice address
420 Charter Blvd Suite 103 Macon GA 31210-4854
Phone: (229) 432-8484
Fax: (229) 432-8487
Website:
Map and Directions
Authorized official contact:
Name: Bagnato, Vito John Doctor of Medicine (MD)
Phone: (229) 432-8484

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 45711 Georgia

Profile Details

NPI number 1851660443
LBN Legal business name Palmyra Surgical, Llc
DBA Doing business as Palmyra Surgical, Llc (Macon)
Authorized official Bagnato, Vito John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2011
Last updated Dec 28th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851660443 NPPES
Mississippi Other 09936 MISSISSIPPI LICENSE NUMBER

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