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FREDDY N. GATON NPI 1356505051


NPI Information

NPI: 1356505051
Provider Name: FREDDY N. GATON

Doing Business As: CRAWFORD FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D0908135

Address:
106 MCCRARY AVE
ROBERTA, GA
ZIP 31078
Phone: (478) 836-2819
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FREDDY N. GATON is a family medicine in Roberta, 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. FREDDY N. GATON NPI is 1356505051. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Crawford Family Medicine.

The provider's business location address is:

106 MCCRARY AVE
ROBERTA, GA
ZIP 31078
Phone: (478) 836-2819
Fax: (478) 836-2823

The provider's authorized official is Freddy N Gaton .
The authorized official title is Physician/practice Administrator and has the following contact phone number (478) 836-2819.

The CLIA number assigned to this NPI record is 11D0908135 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/11/2008 and was last updated on 7/28/2008.


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
1207Q00000XFamily Medicine040386GEORGIAYes

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
100665948BMEDICAIDGEORGIA
2G11734MEDICARE UPINGEORGIA

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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