Chestatee Surgical Associates

LBN: Chestatee Surgical Associates
Chestatee Surgical Associates is an health care organization with primary practice located at 160 Prospector Rdg , Dahlonega GA 30533-6181. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Chestatee Surgical Associates can be contacted via phone (706) 864-7272, or through Ross, Jennifer Mclean via phone (706) 864-7272.

Contact Information

Primary practice address
160 Prospector Rdg Dahlonega GA 30533-6181
Fax: (706) 864-7080
Website:
Authorized official contact:
Name: Ross, Jennifer Mclean

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 043118 Georgia

Profile Details

NPI number 1033305289
LBN Legal business name Chestatee Surgical Associates
DBA Doing business as
Authorized official Ross, Jennifer Mclean
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2007
Last updated Sep 6th, 2018 - about 8 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 1033305289 NPPES
Georgia Other 10050810 AMERIGROUP
Georgia Other 52876062003 AMERIGROUP
Georgia MEDICAID 856357016A AMERIGROUP
Georgia Other 325964 AMERIGROUP

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