Southeast Georgia Primary Care

LBN: Southeast Georgia Primary Care
Southeast Georgia Primary Care is an health care organization with primary practice located at 409 Uvalda St , Waycross GA 31501-4574. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Southeast Georgia Primary Care can be contacted via phone (912) 283-1359, or through Prohaska, Matthew G via phone (912) 283-1359.

Contact Information

Primary practice address
409 Uvalda St Waycross GA 31501-4574
Phone: (912) 283-1359
Fax: (912) 283-1362
Website:
Map and Directions
Authorized official contact:
Name: Prohaska, Matthew G Doctor of Osteopathy (DO)
Phone: (912) 283-1359

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1053429688
LBN Legal business name Southeast Georgia Primary Care
DBA Doing business as
Authorized official Prohaska, Matthew G Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Aug 22nd, 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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