Charles E Bagley Mdpc

LBN: Charles E Bagley Mdpc
Charles E Bagley Mdpc is an health care organization with primary practice located at 210 E 16Th Street , Alma GA 31510. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Charles E Bagley Mdpc can be contacted via phone (912) 632-7203, or through Bagley, Charles E via phone (912) 632-7203.

Contact Information

Primary practice address
210 E 16Th Street Alma GA 31510
Phone: (912) 632-7203
Fax: (912) 632-6491
Website:
Map and Directions
Authorized official contact:
Name: Bagley, Charles E
Phone: (912) 632-7203

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 010858 Georgia

Profile Details

NPI number 1093829343
LBN Legal business name Charles E Bagley Mdpc
DBA Doing business as
Authorized official Bagley, Charles E
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2006
Last updated Mar 5th, 2010 - about 16 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 1093829343 NPPES
Georgia MEDICAID 000098733A

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