Basden Family Practice, Inc.
LBN: Basden Family Practice, Inc.
Basden Family Practice, Inc. is an health care organization with primary practice located at 4940 Governors Dr Suite 203, Forest Park GA 30297-2186. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Basden Family Practice, Inc. can be contacted via phone (404) 362-0282, or through Basden, Cheryl via phone (404) 362-0282.
Contact Information
Primary practice address
4940 Governors Dr Suite 203
Forest Park GA 30297-2186
Phone: (404) 362-0282
Fax: (404) 362-0285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 030951 | Georgia |
Profile Details
| NPI number | 1245498567 |
|---|---|
| LBN Legal business name | Basden Family Practice, Inc. |
| DBA Doing business as | |
| Authorized official | Basden, Cheryl Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2008 |
| Last updated | May 23rd, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245498567 | NPPES |
| Georgia | Other | GRP6406 | MEDICARE ID |
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