Fka Stephen P. Auda, M.D., P.C.
LBN: The Breast Health Clinic, Pc.
Fka Stephen P. Auda, M.D., P.C. is an health care organization with primary practice located at 325 North Jeff Davis Drive , Fayetteville GA 30214. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
The Breast Health Clinic, Pc. can be contacted via phone (770) 461-1337, or through Auda, Stephen Peter via phone (770) 461-1337.
Contact Information
Primary practice address
325 North Jeff Davis Drive
Fayetteville GA 30214
Phone: (770) 461-1337
Fax: (770) 461-0922
Website:
Authorized official contact:
Name: Auda, Stephen Peter Doctor of Medicine (MD)
Phone: (770) 461-1337
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 020653 | Georgia |
Profile Details
| NPI number | 1417079682 |
|---|---|
| LBN Legal business name | The Breast Health Clinic, Pc. |
| DBA Doing business as | Fka Stephen P. Auda, M.D., P.C. |
| Authorized official | Auda, Stephen Peter Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Oct 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417079682 | NPPES |
| Georgia | MEDICAID | 00186392A |
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