Clarke Oconee Family Medicine, Llc

LBN: Clarke Oconee Family Medicine, Llc
Clarke Oconee Family Medicine, Llc is an health care organization with primary practice located at 700 Sunset Dr Ste 400A , Athens GA 30606-2293. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Clarke Oconee Family Medicine, Llc can be contacted via phone (706) 353-7747, or through Cook, Jonathan Mitchell via phone (706) 353-7747.

Contact Information

Primary practice address
700 Sunset Dr Ste 400A Athens GA 30606-2293
Fax: (706) 353-7756
Website:
Authorized official contact:
Name: Cook, Jonathan Mitchell Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042549 Georgia

Profile Details

NPI number 1801803820
LBN Legal business name Clarke Oconee Family Medicine, Llc
DBA Doing business as
Authorized official Cook, Jonathan Mitchell Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2006
Last updated Nov 13th, 2023 - about last year

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 1801803820 NPPES
Georgia Other 1467443713 NPI PHYSICIAN
Georgia MEDICAID 169764070A NPI PHYSICIAN

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