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COMMUNITY FAMILY PRACTICE AND URGENT CARE P C NPI 1992021232


NPI Information

NPI: 1992021232
Provider Name: COMMUNITY FAMILY PRACTICE AND URGENT CARE P C
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2006608

Address:
277 E CROGAN ST
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 822-4411
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COMMUNITY FAMILY PRACTICE AND URGENT CARE P C 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. COMMUNITY FAMILY PRACTICE AND URGENT CARE P C NPI is 1992021232. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

277 E CROGAN ST
LAWRENCEVILLE, GA
ZIP 30046-054
Phone: (770) 822-4411

The provider's authorized official is Alexander E Osowa .
The authorized official title is Physician and has the following contact phone number (770) 822-4411.

The CLIA number assigned to this NPI record is 11D2006608 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2010 and was last updated on 11/5/2015.


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 Medicine19124296GEORGIAYes

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
1558495951AMEDICAIDGEORGIA
2202G702195MEDICARE UPIN

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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