BCA GEORGIA LLC NPI 1679294227

NPI Information

NPI: 1679294227
Provider Name: BCA GEORGIA, LLC

Doing Business As: LAKESIDE IMAGING

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1850 N COLUMBIA ST STE 3
MILLEDGEVILLE, GA
ZIP 31061
Phone: (478) 453-4101
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BCA GEORGIA, LLC is a radiology clinic center in Milledgeville, GA. BCA GEORGIA, LLC NPI is 1679294227. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeside Imaging.

The provider's business location address is:

1850 N COLUMBIA ST STE 3
MILLEDGEVILLE, GA
ZIP 31061-113
Phone: (478) 453-4101

The provider's authorized official is Gary Harper Dent .
The authorized official title is Ceo and has the following contact phone number (912) 764-2455.

The enumeration date for this NPI number is 9/12/2022 and was last updated on 2/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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