Eagle Drive Family Medicine Pc

LBN: Eagle Drive Family Medicine Pc
Eagle Drive Family Medicine Pc is an health care organization with primary practice located at 1816 Eagle Dr Suite 200-B, Woodstock GA 30189-8272. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Eagle Drive Family Medicine Pc can be contacted via phone (678) 445-5995, or through Manrique, Richard Leon via phone (678) 445-5995.

Contact Information

Primary practice address
1816 Eagle Dr Suite 200-B Woodstock GA 30189-8272
Phone: (678) 445-5995
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Manrique, Richard Leon Doctor of Medicine (MD)
Phone: (678) 445-5995

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1750514295
LBN Legal business name Eagle Drive Family Medicine Pc
DBA Doing business as
Authorized official Manrique, Richard Leon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2009
Last updated Jan 25th, 2012 - about 12 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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