Satilla Family Medicine, P.C.

LBN: Satilla Family Medicine, P.C.
Satilla Family Medicine, P.C. is an health care organization with primary practice located at 407 W Oneida St , Waycross GA 31501-5320. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Satilla Family Medicine, P.C. can be contacted via phone (912) 338-0065, or through Agarwal, Mukesh via phone (912) 338-0065.

Contact Information

Primary practice address
407 W Oneida St Waycross GA 31501-5320
Phone: (912) 338-0065
Fax: (912) 338-0920
Website:
Map and Directions
Authorized official contact:
Name: Agarwal, Mukesh Doctor of Medicine (MD)
Phone: (912) 338-0065

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 048327 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 039994 Georgia

Profile Details

NPI number 1134164452
LBN Legal business name Satilla Family Medicine, P.C.
DBA Doing business as
Authorized official Agarwal, Mukesh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Oct 15th, 2009 - about 15 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 1134164452 NPPES
Georgia MEDICAID 085002995G

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