East Georgia Nephrology, Pc

LBN: East Georgia Nephrology, Pc
East Georgia Nephrology, Pc is an health care organization with primary practice located at 450 Georgia Ave Suite B, Statesboro GA 30458-5585. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. East Georgia Nephrology, Pc can be contacted via phone (912) 871-2200, or through Jackson, James William via phone (912) 871-2200.

Contact Information

Primary practice address
450 Georgia Ave Suite B Statesboro GA 30458-5585
Phone: (912) 871-2200
Fax: (912) 871-2220
Website:
Map and Directions
Authorized official contact:
Name: Jackson, James William Doctor of Medicine (MD)
Phone: (912) 871-2200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 034372 Georgia

Profile Details

NPI number 1215128186
LBN Legal business name East Georgia Nephrology, Pc
DBA Doing business as
Authorized official Jackson, James William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2007
Last updated Nov 6th, 2015 - about 11 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 1215128186 NPPES
Georgia Other DN3298 RAILROAD MEDICARE
Georgia MEDICAID 300034644A RAILROAD MEDICARE

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