Organization
UNIVERSAL BILLING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYESHENE THOMPSON (OWNER)
(844) 455-3500
Entity
Organization
Contact information
Practice address
6 SUSAN CIR, CARVER, MA 02330-1014
(404) 721-5000
Mailing address
6 SUSAN CIR, CARVER, MA 02330-1014
(404) 721-5000
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
238.000139
IL
246ZS0410X
Surgical Technologist
2795
VA
246ZS0410X
Surgical Technologist
887
VA
363AS0400X
Surgical Physician Assistant
Primary
M560128792557
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275814204
UNIVERSAL BILLING GROUP LLC
GA
01
—
1992896880
RONALD JENNINGS
GA
Enumeration date
09/04/2011
Last updated
08/23/2023
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