Southside Associates Ob/Gyn, Inc

LBN: Southside Associates Ob/Gyn, Inc
Southside Associates Ob/Gyn, Inc is an health care organization with primary practice located at 1136 Cleveland Ave Suite 208, East Point GA 30344-3618. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southside Associates Ob/Gyn, Inc can be contacted via phone (404) 768-3487, or through Freemont, James Mckinley via phone (404) 768-3487.

Contact Information

Primary practice address
1136 Cleveland Ave Suite 208 East Point GA 30344-3618
Phone: (404) 768-3487
Fax: (404) 768-1051
Website:
Map and Directions
Authorized official contact:
Name: Freemont, James Mckinley Doctor of Medicine (MD)
Phone: (404) 768-3487

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 016343 Georgia

Profile Details

NPI number 1366542490
LBN Legal business name Southside Associates Ob/Gyn, Inc
DBA Doing business as
Authorized official Freemont, James Mckinley Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated May 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366542490 NPPES
Georgia MEDICAID 00117752A
Georgia MEDICAID 00117752F

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