Xcalibur

LBN: Xcalibur
Xcalibur is an health care organization with primary practice located at 1071 Hanover Dr , Madison GA 30650. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Xcalibur can be contacted via phone (678) 500-9542, or through Frierson, Marty Ray via phone (678) 520-3464.

Contact Information

Primary practice address
1071 Hanover Dr Madison GA 30650
Fax: (678) 500-9543
Website:
Authorized official contact:
Name: Frierson, Marty Ray

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 20170210145 Georgia

Profile Details

NPI number 1023366739
LBN Legal business name Xcalibur
DBA Doing business as
Authorized official Frierson, Marty Ray
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2012
Last updated Aug 28th, 2012 - about 13 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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