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 204 E 15Th St , Alma GA 31510. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. South Georgia Physicians Group, Llc can be contacted via phone (912) 632-0314, or through Dubose, Cheryl Crawford via phone (912) 632-8961.

Contact Information

Primary practice address
204 E 15Th St Alma GA 31510
Phone: (912) 632-0314
Fax: (912) 632-2554
Website:
Map and Directions
Authorized official contact:
Name: Dubose, Cheryl Crawford
Phone: (912) 632-8961

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1336560952
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 Dec 27th, 2013
Last updated Dec 21st, 2023 - about 3 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 1336560952 NPPES
Georgia MEDICAID 003144050A

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