Segen Medical Group, P.C.

LBN: Segen Medical Group, P.C.
Segen Medical Group, P.C. is an health care organization with primary practice located at 3950 Austell Rd , Austell GA 30106-1121. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Segen Medical Group, P.C. can be contacted via phone (770) 939-3301, or through Ghebremeskel, Yacob via phone (770) 939-3301.

Contact Information

Primary practice address
3950 Austell Rd Austell GA 30106-1121
Phone: (770) 939-3301
Fax: (770) 939-3331
Website:
Map and Directions
Authorized official contact:
Name: Ghebremeskel, Yacob Doctor of Medicine (MD)
Phone: (770) 939-3301

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45801 Georgia

Profile Details

NPI number 1013096882
LBN Legal business name Segen Medical Group, P.C.
DBA Doing business as
Authorized official Ghebremeskel, Yacob Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 21st, 2008 - about 16 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 1013096882 NPPES
Georgia MEDICAID 000799719D

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