BLAIRSVILLE FAMILY PRACTICE PC NPI 1316205073

NPI Information

NPI: 1316205073
Provider Name: BLAIRSVILLE FAMILY PRACTICE, PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
123 WEAVER RD
SUITE B
BLAIRSVILLE, GA
ZIP 30512
Phone: (706) 745-5556
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BLAIRSVILLE FAMILY PRACTICE, PC is a primary care clinic center in Blairsville, GA. BLAIRSVILLE FAMILY PRACTICE, PC NPI is 1316205073. The provider is registered as an organization entity type.

The provider's business location address is:

123 WEAVER RD
SUITE B
BLAIRSVILLE, GA
ZIP 30512-155
Phone: (706) 745-5556
Fax: (706) 745-1822

The provider's authorized official is James Lanier Heaton .
The authorized official title is President and has the following contact phone number (706) 745-5556.

The enumeration date for this NPI number is 5/1/2012 and was last updated on 5/1/2012.

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
1	261QP2300X	Clinic/Center	Primary Care	31257	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D45625	MEDICARE UPIN	GEORGIA

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

NPI Synchronization or Removal

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