Clarkston Family Medical Center

LBN: Clarkston Family Medicine
Clarkston Family Medical Center is an health care organization with primary practice located at 3603 W Hill St , Clarkston GA 30021-1207. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Clarkston Family Medicine can be contacted via phone (404) 299-7534, or through Huynh, Minbh Tho via phone (404) 299-7534.

Contact Information

Primary practice address
3603 W Hill St Clarkston GA 30021-1207
Phone: (404) 299-7534
Fax: (404) 299-0608
Website:
Map and Directions
Authorized official contact:
Name: Huynh, Minbh Tho Doctor of Medicine (MD)
Phone: (404) 299-7534

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 019886 Georgia

Profile Details

NPI number 1588944771
LBN Legal business name Clarkston Family Medicine
DBA Doing business as Clarkston Family Medical Center
Authorized official Huynh, Minbh Tho Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2011
Last updated Aug 19th, 2011 - 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 1588944771 NPPES
Georgia MEDICAID 0085000391G

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