Surgical Associates Of Eastern Shore Pc

LBN: Surgical Associates Of Eastern Shore Pc
Surgical Associates Of Eastern Shore Pc is an health care organization with primary practice located at 767 Middle St , Fairhope AL 36532. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Surgical Associates Of Eastern Shore Pc can be contacted via phone (251) 990-9191, or through Gavras, Jimmie G via phone (251) 990-9191.

Contact Information

Primary practice address
767 Middle St Fairhope AL 36532
Phone: (251) 990-9191
Fax: (251) 990-9189
Website:
Map and Directions
Authorized official contact:
Name: Gavras, Jimmie G Doctor of Medicine (MD)
Phone: (251) 990-9191

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1528153053
LBN Legal business name Surgical Associates Of Eastern Shore Pc
DBA Doing business as
Authorized official Gavras, Jimmie G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated May 18th, 2016 - about 10 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 1528153053 NPPES
Alabama MEDICAID 529702280

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