Cunanan Medical Clinic Inc

LBN: Cunanan Medical Clinic Inc
Cunanan Medical Clinic Inc is an health care organization with primary practice located at 109 Bullsboro Dr , Newnan GA 30263. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Cunanan Medical Clinic Inc can be contacted via phone (770) 251-4140, or through Cunanan, Romeo Miranda via phone (770) 251-4140.

Contact Information

Primary practice address
109 Bullsboro Dr Newnan GA 30263
Phone: (770) 251-4140
Fax: (770) 251-7275
Website:
Map and Directions
Authorized official contact:
Name: Cunanan, Romeo Miranda MBA
Phone: (770) 251-4140

Health care specialties

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

Profile Details

NPI number 1750441754
LBN Legal business name Cunanan Medical Clinic Inc
DBA Doing business as
Authorized official Cunanan, Romeo Miranda MBA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Sep 9th, 2011 - about 14 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 1750441754 NPPES
Georgia MEDICAID 442780335A

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