1467508689 NPI number — GEORGIA MOUNTAIN SURGICAL ASSOCIATES PC

Table of content: (NPI 1467508689)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467508689 NPI number — GEORGIA MOUNTAIN SURGICAL ASSOCIATES PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GEORGIA MOUNTAIN SURGICAL ASSOCIATES PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467508689
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2238
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLAIRSVILLE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30514-2238
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-781-6950
Provider Business Mailing Address Fax Number:
706-781-6955

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
207 HOSPITAL CIR
Provider Second Line Business Practice Location Address:
SUITE A&B
Provider Business Practice Location Address City Name:
BLAIRSVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30512-3128
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-781-6950
Provider Business Practice Location Address Fax Number:
706-781-6955
Provider Enumeration Date:
01/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
EFIRD
Authorized Official First Name:
STEVEN
Authorized Official Middle Name:
NEAL
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
706-781-6950

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  35408 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00503269A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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