South Georgia Pediatrics, P.C.

LBN: South Georgia Pediatrics, P.C.
South Georgia Pediatrics, P.C. is an health care organization with primary practice located at 1230 Brampton Ave , Statesboro GA 30458-0849. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Clinic/Center. Other Service Providers / Specialist is the primary health care specialty. South Georgia Pediatrics, P.C. can be contacted via phone (912) 489-5437, or through Immaneni, Rao Tulasi via phone (912) 247-0409.

Contact Information

Primary practice address
1230 Brampton Ave Statesboro GA 30458-0849
Phone: (912) 489-5437
Fax: (912) 489-5550
Website:
Map and Directions
Authorized official contact:
Name: Immaneni, Rao Tulasi M.D., F.A.A.P.
Phone: (912) 247-0409

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 044756 Georgia
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X APPLIED FOR Georgia

Profile Details

NPI number 1578797627
LBN Legal business name South Georgia Pediatrics, P.C.
DBA Doing business as
Authorized official Immaneni, Rao Tulasi M.D., F.A.A.P.
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2009
Last updated May 7th, 2009 - 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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