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SCARBOROUGH FAMILY MEDICINE NPI 1609082007


NPI Information

NPI: 1609082007
Provider Name: SCARBOROUGH FAMILY MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2128876

Address:
4310 HARTLEY BRIDGE RD
MACON, GA
ZIP 31216
Phone: (478) 788-4007
Get Directions

SCARBOROUGH FAMILY MEDICINE is a family medicine in Macon, 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. SCARBOROUGH FAMILY MEDICINE NPI is 1609082007. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4310 HARTLEY BRIDGE RD
MACON, GA
ZIP 31216-642
Phone: (478) 788-4007
Fax: (478) 788-5070

The provider's authorized official is Cameka N Scarborough .
The authorized official title is Owner and has the following contact phone number (478) 788-4007.

The CLIA number assigned to this NPI record is 11D2128876 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 8/22/2020.


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 Medicine048078GEORGIAYes

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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