Mba Community Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MBA COMMUNITY CLINIC

Practice address

4395 Ogeechee Rd
Ste 209
Savannah, GA 31405-1249

Phone

(912) 335-8934

Fax

(912) 228-3046

NPI assigned

Mar 11, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Maurice S Byrd

Title

Owner

Phone

(912) 335-8934

Specialties & licenses 3

Addresses

Other names 1

• COMMUNITY CLINIC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1083007355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4395 OGEECHEE RD",
            "address_2": "STE 209",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051249",
            "telephone_number": "912-208-3261",
            "fax_number": "912-228-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4395 OGEECHEE RD",
            "address_2": "STE 209",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051249",
            "telephone_number": "912-335-8934",
            "fax_number": "912-228-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBA COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-335-8934",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Ann Mazo, M.D.
• Sandra Mazo
• Susan G. Mazo, MD
• Robert Alexander Mazur, M.D.
• A. Michel Mazzeo, PSY.D.
• Mba Diabetic Footwear Solutions
• Mba Solutions
• Hollye McAdams, PT
• Mary Cincotta McAfee, M.S.
• Charles A. McAleer, PH.D.

• Primary Care Clinic/Center in Savannah, GA
• Providers in Savannah, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.