Douglas County Family Practice, P.C.
LBN: Douglas County Family Practice, P.C.
Douglas County Family Practice, P.C. is an health care organization with primary practice located at 3872 Highway 5 , Douglasville GA 30135-3366. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Douglas County Family Practice, P.C. can be contacted via phone (770) 949-5535, or through George, Mariam via phone (770) 949-5535.
Contact Information
Primary practice address
3872 Highway 5
Douglasville GA 30135-3366
Phone: (770) 949-5535
Fax: (770) 949-9022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1083769376 |
|---|---|
| LBN Legal business name | Douglas County Family Practice, P.C. |
| DBA Doing business as | |
| Authorized official | George, Mariam Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Feb 11th, 2015 - about 9 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 | 1083769376 | NPPES |
| Georgia | MEDICAID | 442225907A | |
| Georgia | MEDICAID | 085111111G | |
| Georgia | Other | 1972590982 | |
| Georgia | Other | 023734 |
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