Mid America Group Of Georgia Pc

LBN: Mid America Group Of Georgia Pc
Mid America Group Of Georgia Pc is an health care organization with primary practice located at 160 Clairemont Ave Ste 200, Decatur GA 30030-2546. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Mid America Group Of Georgia Pc can be contacted via phone (317) 886-6637, or through Smith, Jewel Bernadette via phone (317) 886-6639.

Contact Information

Primary practice address
160 Clairemont Ave Ste 200 Decatur GA 30030-2546
Phone: (317) 886-6637
Fax: (888) 547-0377
Website:
Map and Directions
Authorized official contact:
Name: Smith, Jewel Bernadette Doctor of Dental Surgery (DDS)
Phone: (317) 886-6639

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1306280458
LBN Legal business name Mid America Group Of Georgia Pc
DBA Doing business as
Authorized official Smith, Jewel Bernadette Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2013
Last updated Mar 19th, 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.

Request for update

Popular Providers