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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013089994 | NPPES |
| Georgia | MEDICAID | 000320251A | |
| Georgia | Other | 1140336 |
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