Winder Surgical Specialist

LBN: Winder Surgical Specialist
Winder Surgical Specialist is an health care organization with primary practice located at 314 N Broad St Suite 350, Winder GA 30680-2191. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Winder Surgical Specialist can be contacted via phone (770) 307-1305, or through Delima, Cesar Medalla via phone (770) 307-1305.

Contact Information

Primary practice address
314 N Broad St Suite 350 Winder GA 30680-2191
Phone: (770) 307-1305
Fax: (770) 307-1522
Website:
Map and Directions
Authorized official contact:
Name: Delima, Cesar Medalla Doctor of Medicine (MD)
Phone: (770) 307-1305

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 028396 Georgia

Profile Details

NPI number 1639345507
LBN Legal business name Winder Surgical Specialist
DBA Doing business as
Authorized official Delima, Cesar Medalla Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2008
Last updated Jun 4th, 2008 - about 18 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 1639345507 NPPES
Georgia MEDICAID 000324244D
Georgia Other 52238010

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