Clinton S. Beverly Md Pc

LBN: Clinton S. Beverly Md Pc
Clinton S. Beverly Md Pc is an health care organization with primary practice located at 440 Charter Blvd Suite 3302, Macon GA 31210-4857. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Clinton S. Beverly Md Pc can be contacted via phone (478) 477-3112, or through Beverly, Clinton S via phone (478) 477-3112.

Contact Information

Primary practice address
440 Charter Blvd Suite 3302 Macon GA 31210-4857
Phone: (478) 477-3112
Fax: (478) 477-4840
Website:
Map and Directions
Authorized official contact:
Name: Beverly, Clinton S Doctor of Medicine (MD)
Phone: (478) 477-3112

Health care specialties

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

Profile Details

NPI number 1346311719
LBN Legal business name Clinton S. Beverly Md Pc
DBA Doing business as
Authorized official Beverly, Clinton S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1346311719 NPPES
Georgia Other DC0201 RAIL ROAD MEDICARE GRP #

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