Tift Regional Medical Center D/B/A South Georgia Vascular Clinic
LBN: South Georgia Vascular Clinic
Tift Regional Medical Center D/B/A South Georgia Vascular Clinic is an health care organization with primary practice located at 901 18Th St E , Tifton GA 31794-3648. 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 Vascular Clinic can be contacted via phone (229) 382-9733, or through Crum, Dennis via phone (229) 353-6146.
Contact Information
Primary practice address
901 18Th St E
Tifton GA 31794-3648
Phone: (229) 382-9733
Fax: (229) 387-6161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 031466 | Georgia |
Profile Details
| NPI number | 1144454059 |
|---|---|
| LBN Legal business name | South Georgia Vascular Clinic |
| DBA Doing business as | Tift Regional Medical Center D/B/A South Georgia Vascular Clinic |
| Authorized official | Crum, Dennis |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 6th, 2009 |
| Last updated | May 6th, 2009 - about 17 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 | 1144454059 | NPPES |
| Georgia | Other | 1003883612 | NPI/WILLIAM KAISER, MD |
| Georgia | Other | 1154356889 | NPI/WILLIAM KAISER, MD |
| Georgia | MEDICAID | 205810921C | NPI/WILLIAM KAISER, MD |
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