Georgia Orthopedic Resources

LBN: South Ga Orthopedic Resources Inc
Georgia Orthopedic Resources is an health care organization with primary practice located at 5152 Belle Wood Ct Ste G , Buford GA 30518-5881. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. South Ga Orthopedic Resources Inc can be contacted via phone (678) 960-4424, or through Bentley, Jake Eric via phone (678) 960-4424.

Contact Information

Primary practice address
5152 Belle Wood Ct Ste G Buford GA 30518-5881
Phone: (678) 960-4424
Fax: (678) 680-7903
Website:
Map and Directions
Authorized official contact:
Name: Bentley, Jake Eric L.O.,C.O.
Phone: (678) 960-4424

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X L.O. 14 Georgia

Profile Details

NPI number 1780094987
LBN Legal business name South Ga Orthopedic Resources Inc
DBA Doing business as Georgia Orthopedic Resources
Authorized official Bentley, Jake Eric L.O.,C.O.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2014
Last updated Jul 21st, 2020 - about 5 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 1780094987 NPPES
Georgia MEDICAID 057062934C

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