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Contact Information

MIDDLE GEORGIA CHEST AND MEDICAL CENTER, LLC
1209 COLUMBIA DR
MILLEDGEVILLE, GA31061
 Phone: 478-452-3200
 Fax: 478-452-1515
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MIDDLE GEORGIA CHEST AND MEDICAL CENTER, LLC

NPI Number 1194215954
LBN Legal business name MIDDLE GEORGIA CHEST AND MEDICAL CENTER, LLC
Authorized official ANIL PURI - (OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2018
Last updated 05/16/2018 - About 8 years ago
Identifiers
GA Medicaid 000209833G
GA Medicaid 003125054B
GA Medicaid 803300847A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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