Perniciaro Laboratories of Georgia PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PERNICIARO LABORATORIES OF GEORGIA PC

Practice address

3008 E Park Ave
Brunswick, GA 31520-4241

Phone

(912) 265-2142

Fax

(912) 265-0530

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Charles V Perniciaro, M.D.

Title

President

Phone

(912) 265-2142

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962503037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 E PARK AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204241",
            "telephone_number": "912-265-2142",
            "fax_number": "912-265-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 E PARK AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204241",
            "telephone_number": "912-265-2142",
            "fax_number": "912-265-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERNICIARO LABORATORIES OF GEORGIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERNICIARO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-265-2142",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Associates of Brunswick
• Pediatric Therapies of SE Ga, LLC
• Peds 'R US, P.C.
• Guy Peffer, LPC
• Marian Frances Pennington, M.D.
• Perry Park Neighborhood Clinic, Inc.
• Personal Transportation Services Inc. (Star Transportation)
• Pharmacare of Georgia Inc
• Sara E Phelps, O.D.
• Philip R. Saleeby, M.D., P.C.

• Clinical Medical Laboratory in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.