Medfast 2

LBN: Medfast 2
Medfast 2 is an health care organization with primary practice located at 1405 Alice St , Waycross GA 31501-4528. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Legal Medicine, which is considered as the primary health care specialty. Medfast 2 can be contacted via phone (912) 285-3157, or through Klug, Gerardo A via phone (912) 285-3157.

Contact Information

Primary practice address
1405 Alice St Waycross GA 31501-4528
Phone: (912) 285-3157
Fax: (912) 283-2051
Website:
Map and Directions
Authorized official contact:
Name: Klug, Gerardo A Doctor of Medicine (MD)
Phone: (912) 285-3157

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Legal Medicine 209800000X 031778 Georgia

Profile Details

NPI number 1003857517
LBN Legal business name Medfast 2
DBA Doing business as
Authorized official Klug, Gerardo A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 22nd, 2020 - about 5 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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