Catherine Bomberger, Md, Llc
LBN: Catherine Bomberger, Md, Llc
Catherine Bomberger, Md, Llc is an health care organization with primary practice located at 310 Hospital Dr Bldg B, Suite 315, Macon GA 31217-3895. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Catherine Bomberger, Md, Llc can be contacted via phone (478) 464-1933, or through Bomberger, Catherine via phone (478) 464-1933.
Contact Information
Primary practice address
310 Hospital Dr Bldg B, Suite 315
Macon GA 31217-3895
Phone: (478) 464-1933
Fax: (478) 464-5094
Website:
Authorized official contact:
Name: Bomberger, Catherine Doctor of Medicine (MD)
Phone: (478) 464-1933
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 048188 | Georgia |
Profile Details
| NPI number | 1194077339 |
|---|---|
| LBN Legal business name | Catherine Bomberger, Md, Llc |
| DBA Doing business as | |
| Authorized official | Bomberger, Catherine Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2012 |
| Last updated | Oct 11th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194077339 | NPPES |
| Georgia | MEDICAID | 00875476A | |
| Georgia | Other | 11BDRTP |
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