Specialty Gynecology Pc

LBN: Specialty Gynecology Pc
Specialty Gynecology Pc is an health care organization with primary practice located at 2398 Mount Vernon Rd Suite 150, Dunwoody GA 30338-3064. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Reproductive Endocrinology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is the primary health care specialty. Specialty Gynecology Pc can be contacted via phone (770) 512-7099, or through Castagno, Jacqueline Christine via phone (352) 672-4666.

Contact Information

Primary practice address
2398 Mount Vernon Rd Suite 150 Dunwoody GA 30338-3064
Phone: (770) 512-7099
Fax: (770) 512-7090
Website:
Map and Directions
Authorized official contact:
Name: Castagno, Jacqueline Christine Doctor of Medicine (MD)
Phone: (352) 672-4666

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 031498 Georgia
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 044759 Georgia

Profile Details

NPI number 1750458261
LBN Legal business name Specialty Gynecology Pc
DBA Doing business as
Authorized official Castagno, Jacqueline Christine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Aug 24th, 2011 - about 15 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 1750458261 NPPES
Georgia MEDICAID 000772285B

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