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NORTHWEST GEORGIA FAMILY PRACTICE CENTER PC NPI 1689765083


NPI Information

NPI: 1689765083
Provider Name: NORTHWEST GEORGIA FAMILY PRACTICE CENTER, PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
68 STOCKADE RD
SUMMERVILLE, GA
ZIP 30747
Phone: (706) 857-5402
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NORTHWEST GEORGIA FAMILY PRACTICE CENTER, PC is a general practice in Summerville, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee NORTHWEST GEORGIA FAMILY PRACTICE CENTER, PC NPI is 1689765083. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

68 STOCKADE RD
SUMMERVILLE, GA
ZIP 30747-900
Phone: (706) 857-5402
Fax: (706) 857-1800

The provider's authorized official is Herman E. Spivey .
The authorized official title is Owner and has the following contact phone number (706) 857-5402.

The enumeration date for this NPI number is 9/28/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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: 5/5/2024

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