Physician Management Services Of Eastern Georgia, Llc

LBN: Physician Management Services Of Eastern Georgia, Llc
Physician Management Services Of Eastern Georgia, Llc is an health care organization with primary practice located at 410 Peachtree Pkwy Suite 4260, Cumming GA 30041-7066. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Physician Management Services Of Eastern Georgia, Llc can be contacted via phone (888) 829-8550, or through Kenefick, Brett via phone (888) 829-8550.

Contact Information

Primary practice address
410 Peachtree Pkwy Suite 4260 Cumming GA 30041-7066
Phone: (888) 829-8550
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kenefick, Brett
Phone: (888) 829-8550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 049380 Georgia

Profile Details

NPI number 1780125294
LBN Legal business name Physician Management Services Of Eastern Georgia, Llc
DBA Doing business as
Authorized official Kenefick, Brett
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 16th, 2017
Last updated Mar 16th, 2017 - about 9 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 1780125294 NPPES
Other PHC059 MEDICARE PTAN

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