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An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Specialty |
261QM2500X | |||
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center | |
End-Stage Renal Disease (ESRD) Treatment |
261QE0700X | B4[14] | End-Stage Renal Disease Facility |
| NPI Number | 1316389836 |
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| LBN Legal business name | PHYSICIAN CONSULTANTS OF GEORGIA INTERVENTIONAL LLC | ||||||||
| Authorized official | REUBEN ELLIS - (PROPRIETOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/25/2013 | ||||||||
| Last updated | 11/19/2020 - About 6 years ago | ||||||||
| Identifiers |
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PHYSICIAN CONSULTANTS OF GEORGIA INTERVENTIONAL LLC