Dallas Family Practice Center Pa

LBN: Dallas Family Practice Center Pa
Dallas Family Practice Center Pa is an health care organization with primary practice located at 318 Main St Ste B, Dallas GA 30132-4266. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Dallas Family Practice Center Pa can be contacted via phone (770) 445-1095, or through Sparti, John G via phone (770) 445-1095.

Contact Information

Primary practice address
318 Main St Ste B Dallas GA 30132-4266
Phone: (770) 445-1095
Fax: (770) 445-5361
Website:
Map and Directions
Authorized official contact:
Name: Sparti, John G Doctor of Osteopathy (DO)
Phone: (770) 445-1095

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16148 Georgia

Profile Details

NPI number 1568466035
LBN Legal business name Dallas Family Practice Center Pa
DBA Doing business as
Authorized official Sparti, John G Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2005
Last updated Dec 8th, 2010 - 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 1568466035 NPPES
Georgia MEDICAID 00063764A

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