South Georgia Surgical Clinic Pc

LBN: South Georgia Surgical Clinic Pc
South Georgia Surgical Clinic Pc is an health care organization with primary practice located at 1007 Greenfield Dr , Tifton GA 31794-3795. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. South Georgia Surgical Clinic Pc can be contacted via phone (229) 382-9733, or through Johnson, Joel M via phone (229) 382-9733.

Contact Information

Primary practice address
1007 Greenfield Dr Tifton GA 31794-3795
Phone: (229) 382-9733
Fax: (229) 387-6161
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Joel M Doctor of Medicine (MD)
Phone: (229) 382-9733

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X Georgia

Profile Details

NPI number 1770544694
LBN Legal business name South Georgia Surgical Clinic Pc
DBA Doing business as South Georgia Surgical Clinic Pc
Authorized official Johnson, Joel M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 21st, 2022 - about 4 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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