Maternal Gynerations, Pc

LBN: Maternal Gynerations, Pc
Maternal Gynerations, Pc is an health care organization with primary practice located at 761 Old Norcross Rd , Lawrenceville GA 30046-4317. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Maternal Gynerations, Pc can be contacted via phone (770) 513-4000, or through Wiist, Lance J via phone (770) 513-4000.

Contact Information

Primary practice address
761 Old Norcross Rd Lawrenceville GA 30046-4317
Fax: (770) 995-3495
Website:
Authorized official contact:
Name: Wiist, Lance J

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1689711558
LBN Legal business name Maternal Gynerations, Pc
DBA Doing business as
Authorized official Wiist, Lance J
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Dec 16th, 2011 - about 14 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 1689711558 NPPES
Georgia Other CJ3628 PALMETTO GBA RAILROAD

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