Georgia Breast Surgery Pc

LBN: Georgia Breast Surgery Pc
Georgia Breast Surgery Pc is an health care organization with primary practice located at 631 Professional Dr Suite 240, Lawrenceville GA 30046-3367. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Georgia Breast Surgery Pc can be contacted via phone (706) 613-5171, or through Schwartz, Jean-Claude via phone (706) 613-5171.

Contact Information

Primary practice address
631 Professional Dr Suite 240 Lawrenceville GA 30046-3367
Fax: (706) 613-2816
Website:
Authorized official contact:
Name: Schwartz, Jean-Claude Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 62768 Georgia

Profile Details

NPI number 1972918050
LBN Legal business name Georgia Breast Surgery Pc
DBA Doing business as
Authorized official Schwartz, Jean-Claude Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2014
Last updated Aug 13th, 2014 - about 12 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 1972918050 NPPES
Georgia MEDICAID 3447771288

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