Penn Teck Diagnostics Inc

LBN: Penn Teck Diagnostics Inc
Penn Teck Diagnostics Inc is an health care organization with primary practice located at 820 St. Sebastian Way, Suite 2B, Augusta GA 30901. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Cardiology, which is considered as the primary health care specialty. Penn Teck Diagnostics Inc can be contacted via phone (706) 722-6612, or through Pennington, Weems R via phone (706) 722-6612.

Contact Information

Primary practice address
820 St. Sebastian Way, Suite 2B Augusta GA 30901
Fax: (706) 722-5057
Website:
Authorized official contact:
Name: Pennington, Weems R Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 014977 Georgia

Profile Details

NPI number 1326139627
LBN Legal business name Penn Teck Diagnostics Inc
DBA Doing business as
Authorized official Pennington, Weems R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated May 26th, 2011 - 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 1326139627 NPPES
Georgia MEDICAID 00094179C
Georgia MEDICAID GPA518

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