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FAMILY PRACTICE CLINIC PC NPI 1437346509


NPI Information

NPI: 1437346509
Provider Name: FAMILY PRACTICE CLINIC PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
696 GRAYSON HWY
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 963-0927
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FAMILY PRACTICE CLINIC PC is a family medicine in Lawrenceville, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY PRACTICE CLINIC PC NPI is 1437346509. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

696 GRAYSON HWY
LAWRENCEVILLE, GA
ZIP 30046-372
Phone: (770) 963-0927
Fax: (770) 963-9772

The provider's authorized official is Sheila Jeanne Smith .
The authorized official title is Owner and has the following contact phone number (770) 963-0927.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 12/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20001GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100168869AMEDICAIDGEORGIA
2GRP6058MEDICARE PINGEORGIA
3E61261MEDICARE UPINGEORGIA
4000302222AMEDICAIDGEORGIA
5448460729AMEDICARE PIN
6D91031MEDICARE UPIN
7405687820AMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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