The Wiregrass Medical & Surgical Group Inc

LBN: The Wiregrass Medical & Surgical Group Inc
The Wiregrass Medical & Surgical Group Inc is an health care organization with primary practice located at 804 N Wiley Ave , Donalsonville GA 39845-1120. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. The Wiregrass Medical & Surgical Group Inc can be contacted via phone (229) 524-2706, or through Massey, April Clanton via phone (229) 524-2706.

Contact Information

Primary practice address
804 N Wiley Ave Donalsonville GA 39845-1120
Phone: (229) 524-2706
Fax: (229) 524-1272
Website:
Map and Directions
Authorized official contact:
Name: Massey, April Clanton
Phone: (229) 524-2706

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 051586 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 033591 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 9288 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 019644 Georgia

Profile Details

NPI number 1083753404
LBN Legal business name The Wiregrass Medical & Surgical Group Inc
DBA Doing business as
Authorized official Massey, April Clanton
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Jun 21st, 2018 - about 8 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 1083753404 NPPES
Georgia Other GRP8001 MEDICARE GROUP NUMBER

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