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Contact Information

SPA MEDICAL LLC
455 PLUM ST
MACON, GA31201-3368
 Phone: 478-743-2209
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SPA MEDICAL LLC

NPI # 1427668342
LBN Legal business name SPA MEDICAL LLC
Authorized official KENNETH HARPER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2020
Last updated 10/06/2020 - About 6 years ago
Identifiers n/a
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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