NPI Registry.org

Bca Georgia, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
BCA GEORGIA, LLC16792942272022-11-19

The organization Bca Georgia, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1679294227. Registration indicates Bca Georgia, Llc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Clinic/Center Radiology, Ambulatory Health Care Facilities) (Clinic/Center, )

Other Names:
Entity TypeOrganization
Provider OrganizationBCA GEORGIA, LLC
Other Provider OrganizationLAKESIDE IMAGING
Practice Office Address1850 N COLUMBIA ST STE 3
MILLEDGEVILLE, GA US
Practice Office Telephone9126606220
Mailing AddressPO BOX 1067
STATESBORO, GA 304591067 US
Business Telephone9127642455
Business Fax9127647522
Authorized OfficialGARY HARPER DENT, CEO
9126606220
HPT Codes
CodePractice
License No
State
261QR0200X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Radiology

Diagnostics/Imaging/Laboratory/Mammography

Clinic/Center Radiology
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
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