South Georgia Health Group, Llc
LBN: South Georgia Health Group, Llc
South Georgia Health Group, Llc is an health care organization with primary practice located at 814 Northwood Park Dr , Valdosta GA 31602-1398. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
South Georgia Health Group, Llc can be contacted via phone (229) 259-0032, or through Moss, Douglas via phone (229) 259-0032.
Contact Information
Primary practice address
814 Northwood Park Dr
Valdosta GA 31602-1398
Phone: (229) 259-0032
Fax: (229) 259-0068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X |
Profile Details
| NPI number | 1306091376 |
|---|---|
| LBN Legal business name | South Georgia Health Group, Llc |
| DBA Doing business as | |
| Authorized official | Moss, Douglas Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 18th, 2008 |
| Last updated | May 21st, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306091376 | NPPES |
| Georgia | MEDICAID | 789586476A |
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