Southern Cardiopulmonary Associates Pc

LBN: Southern Cardiopulmonary Associates Pc
Southern Cardiopulmonary Associates Pc is an health care organization with primary practice located at 1551 Doctors Dr Building 200, Lagrange GA 30240-4139. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southern Cardiopulmonary Associates Pc can be contacted via phone (706) 884-2641, or through Simmos, Richard S via phone (706) 884-2641.

Contact Information

Primary practice address
1551 Doctors Dr Building 200 Lagrange GA 30240-4139
Fax: (706) 884-2353
Website:
Authorized official contact:
Name: Simmos, Richard S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Georgia

Profile Details

NPI number 1841285004
LBN Legal business name Southern Cardiopulmonary Associates Pc
DBA Doing business as
Authorized official Simmos, Richard S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 21st, 2022 - about 2 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 1841285004 NPPES
Georgia MEDICAID 300021816A
Georgia Other CB9006

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