Ag Family Medicine, Pc

LBN: Ag Family Medicine, Pc
Ag Family Medicine, Pc is an health care organization with primary practice located at 530 Highland Station Dr Suite 2007, Suwanee GA 30024-6571. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Ag Family Medicine, Pc can be contacted via phone (770) 614-9799, or through Kim, Chang Soo via phone (770) 614-9799.

Contact Information

Primary practice address
530 Highland Station Dr Suite 2007 Suwanee GA 30024-6571
Phone: (770) 614-9799
Fax: (770) 614-9789
Website:
Map and Directions
Authorized official contact:
Name: Kim, Chang Soo Doctor of Medicine (MD)
Phone: (770) 614-9799

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 59806 Georgia

Profile Details

NPI number 1174783435
LBN Legal business name Ag Family Medicine, Pc
DBA Doing business as
Authorized official Kim, Chang Soo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2008
Last updated Jan 26th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174783435 NPPES
Georgia MEDICAID 868452174A

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