South Georgia Medical Associates, Pc

LBN: South Georgia Medical Associates, Pc
South Georgia Medical Associates, Pc is an health care organization with primary practice located at 410 Connell Rd , Valdosta GA 31602-1407. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. South Georgia Medical Associates, Pc can be contacted via phone (229) 244-4720, or through Bruch, Kathi via phone (229) 244-4720.

Contact Information

Primary practice address
410 Connell Rd Valdosta GA 31602-1407
Fax:
Website:
Authorized official contact:
Name: Bruch, Kathi

Health care specialties

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

Profile Details

NPI number 1760427959
LBN Legal business name South Georgia Medical Associates, Pc
DBA Doing business as
Authorized official Bruch, Kathi
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Mar 14th, 2014 - about 11 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 1760427959 NPPES
Georgia MEDICAID 300022100A

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