Sumter Family Medicine & Sports Medicine Center, P.C.
LBN: Sumter Family Medicine & Sports Medicine Center, P.C.
Sumter Family Medicine & Sports Medicine Center, P.C. is an health care organization with primary practice located at 922 E Jefferson St Suite B, Americus GA 31709-4780. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty.
Sumter Family Medicine & Sports Medicine Center, P.C. can be contacted via phone (229) 924-2383, or through Busman, Michael Shane via phone (229) 924-2383.
Contact Information
Primary practice address
922 E Jefferson St Suite B
Americus GA 31709-4780
Phone: (229) 924-2383
Fax: (229) 924-0684
Website:
Authorized official contact:
Name: Busman, Michael Shane Doctor of Medicine (MD)
Phone: (229) 924-2383
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 040628 | Georgia |
Profile Details
| NPI number | 1073775904 |
|---|---|
| LBN Legal business name | Sumter Family Medicine & Sports Medicine Center, P.C. |
| DBA Doing business as | |
| Authorized official | Busman, Michael Shane Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 1st, 2008 |
| Last updated | Jul 1st, 2008 - 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 | 1073775904 | NPPES |
| Georgia | MEDICAID | 000720893D |
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