MONROE PRIMARY CARE LLC NPI 1710726963

NPI Information

  • NPI: 1710726963
  • Provider Name: MONROE PRIMARY CARE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 11D2304738
  • Address: 705 BREEDLOVE DR STE 800
    MONROE, GA
    ZIP 30655
  • Phone: (678) 635-6185

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NPI Details

MONROE PRIMARY CARE LLC is a family medicine in Monroe, 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. MONROE PRIMARY CARE LLC NPI is 1710726963. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

705 BREEDLOVE DR STE 800
MONROE, GA
ZIP 30655-086
Phone: (678) 635-6185
Fax: (678) 635-6187

The provider's authorized official is Joel Garrison .
The authorized official title is Physician and has the following contact phone number (678) 635-6185.

The CLIA number assigned to this NPI record is 11D2304738 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2024 and was last updated on 8/23/2024.

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 MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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