Classicare Internal Medicine

LBN: Classicare Medical Consult Pc, Inc
Classicare Internal Medicine is an health care organization with primary practice located at 4904 Timber Ridge Dr Ste 303 , Douglasville GA 30135-1831. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Classicare Medical Consult Pc, Inc can be contacted via phone (770) 489-5000, or through You, Xiangdong via phone (770) 489-5000.

Contact Information

Primary practice address
4904 Timber Ridge Dr Ste 303 Douglasville GA 30135-1831
Phone: (770) 489-5000
Fax: (770) 489-0305
Website:
Map and Directions
Authorized official contact:
Name: You, Xiangdong Doctor of Medicine (MD)
Phone: (770) 489-5000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 050465 Georgia

Profile Details

NPI number 1922130012
LBN Legal business name Classicare Medical Consult Pc, Inc
DBA Doing business as Classicare Internal Medicine
Authorized official You, Xiangdong Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Sep 17th, 2019 - about 5 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 1922130012 NPPES
Other 2089568 FIRST HEALTHCARE
Other 320129 FIRST HEALTHCARE
MEDICAID 000934007E FIRST HEALTHCARE
Other 52895315 FIRST HEALTHCARE
Other 6104 FIRST HEALTHCARE
Other 7676325 FIRST HEALTHCARE
Other 3462913 FIRST HEALTHCARE
Other P00242355 FIRST HEALTHCARE
Other 0403355 FIRST HEALTHCARE
Other 782253003 FIRST HEALTHCARE
Other 21232609899 FIRST HEALTHCARE
Other 258835797 FIRST HEALTHCARE

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