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FAMILY CARE OF HILLANDALE P.C. NPI 1043316391


NPI Information

NPI: 1043316391
Provider Name: FAMILY CARE OF HILLANDALE, P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D1013504

Address:
5910 HILLANDALE DR
SUITE 204
LITHONIA, GA
ZIP 30058
Phone: (770) 981-2443
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FAMILY CARE OF HILLANDALE, P.C. is a family medicine in Lithonia, 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 CARE OF HILLANDALE, P.C. NPI is 1043316391. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5910 HILLANDALE DR
SUITE 204
LITHONIA, GA
ZIP 30058-884
Phone: (770) 981-2443
Fax: (770) 981-2478

The provider's authorized official is Arlene A Lewis .
The authorized official title is Medical Director and has the following contact phone number (770) 981-2443.

The CLIA number assigned to this NPI record is 11D1013504 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine043236GEORGIAYes

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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