| Duns | 192070212 |
| Cage Code | 803T1 |
| Sam Extract Code | E |
| Purpose Of Registration | Z2 |
| Initial Registration Date | 2017-11-22 |
| Expiration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |
| Activation Date | 2018-11-09 |
| Legal Business Name | HEALTHCARE PRACTICE SERVICES OF CENTRAL GEORGIA, LLC |
| Physical Address Line 1 | 117 PARKWOOD AVE |
| Physical Address City | MACON |
| Physical Address Province Or State | GA |
| Physical Address Zippostal Code | 31210 |
| Physical Address Zip Code 4 | 5018 |
| Physical Address Country Code | USA |
| Entity Congressional District | 8 |
| Business Start Date | 2003-04-17 |
| Fiscal Year End Close Date | 1231 |
| Entity Structure | 2L |
| State Of Incorporation | GA |
| Country Of Incorporation | USA |
| Business Type Counter | 3 |
| Business Type Varchar | 2X~A2~LJ |
| Primary Naics | 541219 |
| Naics Code Counter | 1 |
| Naics Code Varchar | 541219Y |
| Credit Card Usage | N |
| Mailing Address Line 1 | 117 PARKWOOD AVE |
| Mailing Address City | MACON |
| Mailing Address Zippostal Code | 31210 |
| Mailing Address Zip Code 4 | 5018 |
| Mailing Address Country | USA |
| Mailing Address State Or Province | GA |
| Govt Bus Poc First Name | SARAH |
| Govt Bus Poc Last Name | GIBBERT |
| Govt Bus Poc Title | OWNER |
| Govt Bus Poc St Add 1 | 117 PARKWOOD AVE |
| Govt Bus Poc City | MACON |
| Govt Bus Poc Zippostal Code | 31210 |
| Govt Bus Poc Country Code | USA |
| Govt Bus Poc State Or Province | GA |
| Govt Bus Poc Us Phone | 2147483647 |
| Govt Bus Poc Fax Us Only | 4787507756 |
| Govt Bus Poc Email | [email protected] |
| Elec Bus Poc First Name | SARAH |
| Elec Bus Poc Last Name | GIBBERT |
| Elec Bus Poc Title | OWNER |
| Elec Bus Poc St Add 1 | 117 PARKWOOD AVE |
| Elec Bus Poc City | MACON |
| Elec Bus Poc Zippostal Code | 31210 |
| Elec Bus Poc Country Code | USA |
| Elec Bus Poc State Or Province | GA |
| Elec Bus Poc Us Phone | 2147483647 |
| Elec Bus Poc Fax Us Only | 4787507756 |
| Elec Bus Poc Email | [email protected] |
| Debt Subject To Offset Flag | N |
| Disaster Response Counter | 1 |
| Disaster Response Varchar | STAGA |
| End Of Record Indicator | !end |