Doerun Family Medicine Clinic

LBN: Doerun Family Medicine Clinic
Doerun Family Medicine Clinic is an health care organization with primary practice located at 128 West Broad Ave , Doerun GA 31744. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Doerun Family Medicine Clinic can be contacted via phone (229) 891-9131, or through Sims, Wendell Larry via phone (229) 985-3420.

Contact Information

Primary practice address
128 West Broad Ave Doerun GA 31744
Phone: (229) 891-9131
Fax: (229) 891-9079
Website:
Map and Directions
Authorized official contact:
Name: Sims, Wendell Larry
Phone: (229) 985-3420

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X Georgia

Profile Details

NPI number 1992147573
LBN Legal business name Doerun Family Medicine Clinic
DBA Doing business as
Authorized official Sims, Wendell Larry
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2013
Last updated May 7th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992147573 NPPES
Georgia Other 11-8911 MEDICARE PART A
Georgia MEDICAID 003157266A MEDICARE PART A

Popular Providers