Tracy Middlebrooks, Md

LBN: Tracy Middlebrooks, Md
Tracy Middlebrooks, Md is an health care organization with primary practice located at 2315 Central Ave , Augusta GA 30904-6272. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Tracy Middlebrooks, Md can be contacted via phone (706) 667-0070, or through Middlebrooks, Tracy via phone (706) 667-0070.

Contact Information

Primary practice address
2315 Central Ave Augusta GA 30904-6272
Phone: (706) 667-0070
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Middlebrooks, Tracy Doctor of Medicine (MD)
Phone: (706) 667-0070

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 021986 Georgia

Profile Details

NPI number 1912241654
LBN Legal business name Tracy Middlebrooks, Md
DBA Doing business as
Authorized official Middlebrooks, Tracy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2012
Last updated Nov 19th, 2012 - about 12 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 1912241654 NPPES
Georgia MEDICAID 000266725A

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