South Georgia Physicians Group, Llc
LBN: South Georgia Physicians Group, Llc
South Georgia Physicians Group, Llc is an health care organization with primary practice located at 1406 Habersham Dr , Waycross GA 31501-5306. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty.
South Georgia Physicians Group, Llc can be contacted via phone (912) 287-1130, or through Dubose, Cheryl Crawford via phone (912) 632-8961.
Contact Information
Primary practice address
1406 Habersham Dr
Waycross GA 31501-5306
Phone: (912) 287-1130
Fax: (912) 287-9114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1316501372 |
|---|---|
| LBN Legal business name | South Georgia Physicians Group, Llc |
| DBA Doing business as | |
| Authorized official | Dubose, Cheryl Crawford |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2019 |
| Last updated | May 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316501372 | NPPES |
| Georgia | Other | 1336560952 | GROUP NPI |
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