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OAK TREE FAMILY MEDICINE PC NPI 1548413206


NPI Information

NPI: 1548413206
Provider Name: OAK TREE FAMILY MEDICINE, PC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 11D1089261

Address:
6335 HOSPITAL PKWY
STE 101
JOHNS CREEK, GA
ZIP 30097
Phone: (770) 814-9672
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OAK TREE FAMILY MEDICINE, PC is a preferred provider organization in Johns Creek, GA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. OAK TREE FAMILY MEDICINE, PC NPI is 1548413206. The provider is registered as an organization entity type.

The provider's business location address is:

6335 HOSPITAL PKWY
STE 101
JOHNS CREEK, GA
ZIP 30097-550
Phone: (770) 814-9672
Fax: (770) 814-9673

The provider's authorized official is Jun H Ro .
The authorized official title is President and has the following contact phone number (770) 814-9672.

The CLIA number assigned to this NPI record is 11D1089261 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/28/2008 and was last updated on 10/28/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization050671GEORGIAYes

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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