Seaside Surgical, Llc

LBN: Seaside Surgical, Llc
Seaside Surgical, Llc is an health care organization with primary practice located at 3303B Glynn Ave , Brunswick GA 31520-4406. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ophthalmologic Surgery, which is considered as the primary health care specialty. Seaside Surgical, Llc can be contacted via phone (912) 466-9500, or through Clark, Lisa J via phone (912) 466-9500.

Contact Information

Primary practice address
3303B Glynn Ave Brunswick GA 31520-4406
Phone: (912) 466-9500
Fax: (912) 466-9922
Website:
Map and Directions
Authorized official contact:
Name: Clark, Lisa J
Phone: (912) 466-9500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ophthalmologic Surgery 261QS0132X

Profile Details

NPI number 1780820381
LBN Legal business name Seaside Surgical, Llc
DBA Doing business as
Authorized official Clark, Lisa J
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2009
Last updated Mar 14th, 2023 - about last year

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 1780820381 NPPES
Georgia Other 11C0001332 MEDICARE
Georgia MEDICAID 833908673A MEDICARE

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