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FAMILY HEALTH CARE OF MACON P.C. NPI 1619157997


NPI Information

NPI: 1619157997
Provider Name: FAMILY HEALTH CARE OF MACON, P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3096 RIVERSIDE DR
SUITE D
MACON, GA
ZIP 31210
Phone: (478) 405-2222
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FAMILY HEALTH CARE OF MACON, P.C. 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. FAMILY HEALTH CARE OF MACON, P.C. NPI is 1619157997. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3096 RIVERSIDE DR
SUITE D
MACON, GA
ZIP 31210-545
Phone: (478) 405-2222
Fax: (478) 405-2229

The provider's authorized official is Walter Stephen Hutchings .
The authorized official title is Owner and has the following contact phone number (478) 405-2222.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 11/17/2007.


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 Medicine034857GEORGIAYes

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
1034857MEDICARE PINGEORGIA
200473888AMEDICAIDGEORGIA
3GRP1347OTHERGEORGIAMEDICARE

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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