David W Retterbush Md Pc

LBN: David W Retterbush Md Pc
David W Retterbush Md Pc is an health care organization with primary practice located at 403 Cowart Ave , Valdosta GA 31602-2635. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. David W Retterbush Md Pc can be contacted via phone (229) 244-0034, or through Retterbush, David William via phone (229) 244-0034.

Contact Information

Primary practice address
403 Cowart Ave Valdosta GA 31602-2635
Phone: (229) 244-0034
Fax: (229) 244-1871
Website:
Map and Directions
Authorized official contact:
Name: Retterbush, David William Doctor of Medicine (MD)
Phone: (229) 244-0034

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 20145 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 51883 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X 19642 Kentucky

Profile Details

NPI number 1912992587
LBN Legal business name David W Retterbush Md Pc
DBA Doing business as
Authorized official Retterbush, David William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2005
Last updated Jun 19th, 2008 - about 18 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 1912992587 NPPES
Georgia Other 525023 BS OF GA
Georgia Other 511G700378 BS OF GA
Georgia MEDICAID 000193278A BS OF GA
Georgia Other 020022209 BS OF GA

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