Statesboro Cardiology, Pc

LBN: Statesboro Cardiology, Pc
Statesboro Cardiology, Pc is an health care organization with primary practice located at 5 Grady Johnson Rd , Statesboro GA 30458-6026. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Statesboro Cardiology, Pc can be contacted via phone (912) 489-6843, or through Shin, Stanley J via phone (912) 489-6246.

Contact Information

Primary practice address
5 Grady Johnson Rd Statesboro GA 30458-6026
Phone: (912) 489-6843
Fax: (912) 489-6346
Website:
Map and Directions
Authorized official contact:
Name: Shin, Stanley J Doctor of Medicine (MD)
Phone: (912) 489-6246

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1205840105
LBN Legal business name Statesboro Cardiology, Pc
DBA Doing business as
Authorized official Shin, Stanley J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Nov 9th, 2020 - about 4 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 1205840105 NPPES
Georgia MEDICAID 300033286A

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