CLARKE OCONEE FAMILY MEDICINE LLC NPI 1801803820

NPI Information

CLARKE OCONEE FAMILY MEDICINE, LLC is a family medicine in Athens, 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. CLARKE OCONEE FAMILY MEDICINE, LLC NPI is 1801803820. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 SUNSET DR STE 400A
ATHENS, GA
ZIP 30606-293
Phone: (706) 353-7747
Fax: (706) 353-7756

The provider's authorized official is Jonathan Mitchell Cook .
The authorized official title is Owner/manager and has the following contact phone number (706) 353-7747.

The CLIA number assigned to this NPI record is 11D1018416 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/2/2006 and was last updated on 11/13/2023.

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:

Other Identifiers

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