Georgia Physician South,Pc in Blackshear - Clinical Medical Laboratory
Georgia Physician South,Pc - NPI 1639381171
Georgia Physician South,Pc is a Clinical Medical Laboratory in Blackshear, Georgia. Georgia Physician South,Pc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Georgia Physician South,Pc is 1639381171. The last update date is 2015-03-26.
Georgia Physician South,Pc's current location address is 120 Carter Ave, Blackshear, Georgia. You can contact this provider via phone number 9124494426 and fax number 9124491517. The mailing address for Georgia Physician South,Pc is 120 Carter Ave, Blackshear, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Georgia Physician South,Pc |
|---|---|
| Address | 120 Carter Ave, Blackshear, Georgia |
| Phone Number | 9124494426 |
| Fax Number | 9124491517 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LAB SUPERV |
|---|---|
| Authorized Official Name | Brickle E Susan |
| Credentials | MD |
| Telephone Number | 9124494426 |
NPI Number Detail
| NPI Number | 1639381171 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2015-03-26 |
Provider Mailing Address Detail
| Address | 120 Carter Ave |
|---|---|
| City | Blackshear |
| State | Georgia (GA) |
| Post Code | 31516 |
| Phone Number | 9124494426 |
| Fax Number | 9124491517 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Georgia Physician South,Pc by the Centers for Medicare & Medicaid Services?
The Georgia Physician South,Pc has been issued the NPI (National Provider Identifier) 1639381171 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Georgia Physician South,Pc's facilities are situated?
The facilities of Georgia Physician South,Pc are physically located at the following address: 120 Carter Ave, Blackshear, GA, 31516.
What is Georgia Physician South,Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Georgia Physician South,Pc is Clinical Medical Laboratory, and the corresponding taxonomy classification code for this specialized field is 291U00000X.
When did the Georgia Physician South,Pc receive its 1639381171?
The Georgia Physician South,Pc was issued its 1639381171 on 2007-05-04, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Georgia Physician South,Pc most recently updated or revised?
The information pertaining to Georgia Physician South,Pc, including its address, specialty, and other relevant details, was last updated or revised on 2015-03-26.