Csra Surgical Solutions Pc

LBN: Csra Surgical Solutions Pc
Csra Surgical Solutions Pc is an health care organization with primary practice located at 3624 J Dewey Gray Cir Suite 250, Augusta GA 30909-6667. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Csra Surgical Solutions Pc can be contacted via phone (706) 855-9565, or through Wilder, Sharon via phone (706) 863-9595.

Contact Information

Primary practice address
3624 J Dewey Gray Cir Suite 250 Augusta GA 30909-6667
Phone: (706) 855-9565
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilder, Sharon
Phone: (706) 863-9595

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1346217908
LBN Legal business name Csra Surgical Solutions Pc
DBA Doing business as
Authorized official Wilder, Sharon
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2006
Last updated Nov 2nd, 2011 - about 15 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 1346217908 NPPES
Georgia MEDICAID 000713402C

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