South Ga Orthopedic Resources Inc

LBN: South Ga Orthopedic Resources Inc
South Ga Orthopedic Resources Inc is an health care organization with primary practice located at 1825 Old Ocilla Rd , Tifton GA 31794-1617. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. South Ga Orthopedic Resources Inc can be contacted via phone (229) 386-9829, or through Parson, Jeffery Dean via phone (229) 386-9829.

Contact Information

Primary practice address
1825 Old Ocilla Rd Tifton GA 31794-1617
Phone: (229) 386-9829
Fax: (229) 386-9830
Website:
Map and Directions
Authorized official contact:
Name: Parson, Jeffery Dean Certified Orthotist (CO)
Phone: (229) 386-9829

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1295918712
LBN Legal business name South Ga Orthopedic Resources Inc
DBA Doing business as
Authorized official Parson, Jeffery Dean Certified Orthotist (CO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2007
Last updated Jun 25th, 2024 - about 2 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 1295918712 NPPES
Georgia MEDICAID 057062934A

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