Resurgia Health Solutions Pc

LBN: Resurgia Health Solutions Pc
Resurgia Health Solutions Pc is an health care organization with primary practice located at 1233 Highway 54 W Ste 130 , Fayetteville GA 30214-4542. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Resurgia Health Solutions Pc can be contacted via phone (404) 445-5304, or through Charles, Kevin via phone (404) 445-5304.

Contact Information

Primary practice address
1233 Highway 54 W Ste 130 Fayetteville GA 30214-4542
Fax: (404) 445-5173
Website:
Authorized official contact:
Name: Charles, Kevin

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1609544493
LBN Legal business name Resurgia Health Solutions Pc
DBA Doing business as
Authorized official Charles, Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 6th, 2021
Last updated Sep 6th, 2021 - about 3 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 1609544493 NPPES
Georgia MEDICAID 003239762A

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