Clinica Medica Familiar, Llp
LBN: Clinica Medica Familiar, Llp
Clinica Medica Familiar, Llp is an health care organization with primary practice located at 189 Medical Way Suite B, Riverdale GA 30274-4905. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty.
Clinica Medica Familiar, Llp can be contacted via phone (770) 996-9681, or through Dourron, Jack Patrick via phone (770) 996-9681.
Contact Information
Primary practice address
189 Medical Way Suite B
Riverdale GA 30274-4905
Phone: (770) 996-9681
Fax: (770) 996-9683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 027722 | Georgia |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 014308 | Georgia |
Profile Details
| NPI number | 1619101813 |
|---|---|
| LBN Legal business name | Clinica Medica Familiar, Llp |
| DBA Doing business as | |
| Authorized official | Dourron, Jack Patrick |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2009 |
| Last updated | May 4th, 2009 - about 15 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 | 1619101813 | NPPES |
| Georgia | MEDICAID | 000136958I |
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