Paul R. Phelps, Sr, M.D., Pc

LBN: Paul R. Phelps, Sr, M.D., Pc
Paul R. Phelps, Sr, M.D., Pc is an health care organization with primary practice located at 818 Forsyth Street , Macon GA 31201-2139. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Paul R. Phelps, Sr, M.D., Pc can be contacted via phone (478) 633-7010, or through Brickle, Tammy J via phone (478) 254-5943.

Contact Information

Primary practice address
818 Forsyth Street Macon GA 31201-2139
Phone: (478) 633-7010
Fax: (478) 633-7585
Website:
Map and Directions
Authorized official contact:
Name: Brickle, Tammy J
Phone: (478) 254-5943

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 011990 Georgia

Profile Details

NPI number 1013234541
LBN Legal business name Paul R. Phelps, Sr, M.D., Pc
DBA Doing business as
Authorized official Brickle, Tammy J
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2010
Last updated Dec 20th, 2010 - 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 1013234541 NPPES
Georgia Other 011990 STATE LICENSE
Georgia MEDICAID 00071398A STATE LICENSE

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