Summit Dermatology & Laser Center, P.C.
LBN: Summit Dermatology & Laser Center, P.C.
Summit Dermatology & Laser Center, P.C. is an health care organization with primary practice located at 1111 Glynco Pkwy Bldg 1, Suite 20, Brunswick GA 31525-7921. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Summit Dermatology & Laser Center, P.C. can be contacted via phone (912) 262-1801, or through Blasik, Lawrence George via phone (912) 262-1801.
Contact Information
Primary practice address
1111 Glynco Pkwy Bldg 1, Suite 20
Brunswick GA 31525-7921
Phone: (912) 262-1801
Fax: (912) 264-6262
Website:
Authorized official contact:
Name: Blasik, Lawrence George Doctor of Medicine (MD)
Phone: (912) 262-1801
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 055102 | Georgia |
Profile Details
| NPI number | 1508920992 |
|---|---|
| LBN Legal business name | Summit Dermatology & Laser Center, P.C. |
| DBA Doing business as | |
| Authorized official | Blasik, Lawrence George Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Apr 16th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508920992 | NPPES |
| Georgia | Other | DB9882 | RR MEDICARE |
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