Summit Surgical Specialists Pc

LBN: Summit Surgical Specialists Pc
Summit Surgical Specialists Pc is an health care organization with primary practice located at 590 Nancy St Nw , Marietta GA 30060-1334. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Summit Surgical Specialists Pc can be contacted via phone (770) 423-0395, or through Richards, Cheryl J via phone (770) 423-0395.

Contact Information

Primary practice address
590 Nancy St Nw Marietta GA 30060-1334
Phone: (770) 423-0395
Fax: (770) 499-0352
Website:
Map and Directions
Authorized official contact:
Name: Richards, Cheryl J
Phone: (770) 423-0395

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1295880763
LBN Legal business name Summit Surgical Specialists Pc
DBA Doing business as
Authorized official Richards, Cheryl J
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Aug 31st, 2010 - about 14 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 1295880763 NPPES
Georgia MEDICAID 55001233A

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