West Georgia Dermatology Pc

LBN: West Georgia Dermatology Pc
West Georgia Dermatology Pc is an health care organization with primary practice located at 1605 Whitesville St , Lagrange GA 30240-5903. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. West Georgia Dermatology Pc can be contacted via phone (706) 882-5119, or through Barth, Garin Daniel via phone (706) 882-5119.

Contact Information

Primary practice address
1605 Whitesville St Lagrange GA 30240-5903
Phone: (706) 882-5119
Fax: (706) 882-0270
Website:
Map and Directions
Authorized official contact:
Name: Barth, Garin Daniel Doctor of Medicine (MD)
Phone: (706) 882-5119

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 30949 Georgia

Profile Details

NPI number 1760493167
LBN Legal business name West Georgia Dermatology Pc
DBA Doing business as
Authorized official Barth, Garin Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 20th, 2014 - about 10 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 1760493167 NPPES
Georgia Other 280767 BC/BS PROVIDER NUMBER

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