Physician Support Associates Inc

LBN: Physician Support Associates Pc
Physician Support Associates Inc is an health care organization with primary practice located at 1021 Daisy Park , Macon GA 31201-2020. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Physician Support Associates Pc can be contacted via phone (478) 746-2842, or through Iteogu, Michael via phone (478) 746-2842.

Contact Information

Primary practice address
1021 Daisy Park Macon GA 31201-2020
Phone: (478) 746-2842
Fax: (478) 746-8362
Website:
Map and Directions
Authorized official contact:
Name: Iteogu, Michael PHARMD
Phone: (478) 746-2842

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PHRE006546 Georgia

Profile Details

NPI number 1013089994
LBN Legal business name Physician Support Associates Pc
DBA Doing business as Physician Support Associates Inc
Authorized official Iteogu, Michael PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 14th, 2013 - about 11 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 1013089994 NPPES
Georgia MEDICAID 000320251A
Georgia Other 1140336

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