Southern Retina Llc
LBN: Southern Retina Llc
Southern Retina Llc is an health care organization with primary practice located at 5354 Reynolds St Suite 317, Savannah GA 31405-6007. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Southern Retina Llc can be contacted via phone (912) 353-7900, or through Harris, Charles L via phone (912) 353-7900.
Contact Information
Primary practice address
5354 Reynolds St Suite 317
Savannah GA 31405-6007
Phone: (912) 353-7900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1710028287 |
|---|---|
| LBN Legal business name | Southern Retina Llc |
| DBA Doing business as | |
| Authorized official | Harris, Charles L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Oct 25th, 2007 - about 17 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 | 1710028287 | NPPES |
| South Carolina | MEDICAID | GPA790 | |
| South Carolina | MEDICAID | 00829551E |
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