Savannah Diagnostic Assoc Pc

LBN: Savannah Diagnostic Assoc Pc
Savannah Diagnostic Assoc Pc is an health care organization with primary practice located at 12345 Mercy Blvd , Savannah GA 31419-3436. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Savannah Diagnostic Assoc Pc can be contacted via phone (912) 927-3048, or through Northup, John David via phone (912) 927-3046.

Contact Information

Primary practice address
12345 Mercy Blvd Savannah GA 31419-3436
Phone: (912) 927-3048
Fax: (912) 925-0597
Website:
Map and Directions
Authorized official contact:
Name: Northup, John David Doctor of Medicine (MD)
Phone: (912) 927-3046

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 016651 Georgia

Profile Details

NPI number 1548267438
LBN Legal business name Savannah Diagnostic Assoc Pc
DBA Doing business as
Authorized official Northup, John David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 19th, 2010 - about 14 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 1548267438 NPPES
Georgia MEDICAID 000018092A
Georgia Other 52241377

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