Georgia Physician South,Pc

LBN: Georgia Physician South,Pc
Georgia Physician South,Pc is an health care organization with primary practice located at 120 Carter Ave , Blackshear GA 31516. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Georgia Physician South,Pc can be contacted via phone (912) 449-4426, or through Brickle, Susan E via phone (912) 449-4426.

Contact Information

Primary practice address
120 Carter Ave Blackshear GA 31516
Phone: (912) 449-4426
Fax: (912) 449-1517
Website:
Map and Directions
Authorized official contact:
Name: Brickle, Susan E Doctor of Medicine (MD)
Phone: (912) 449-4426

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1639381171
LBN Legal business name Georgia Physician South,Pc
DBA Doing business as
Authorized official Brickle, Susan E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Mar 26th, 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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