Family Medicine Of Gwinnett, Llc

LBN: Family Medicine Of Gwinnett, Llc
Family Medicine Of Gwinnett, Llc is an health care organization with primary practice located at 1742 Oak Road , Snellville GA 30078. The organization recently has 3 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Managed Care Organizations / Exclusive Provider Organization, Managed Care Organizations / Health Maintenance Organization. Agencies / Public Health or Welfare is the primary health care specialty. Family Medicine Of Gwinnett, Llc can be contacted via phone (770) 638-1401, or through Kim, Yong S via phone (770) 638-1401.

Contact Information

Primary practice address
1742 Oak Road Snellville GA 30078
Fax: (770) 638-1402
Website:
Authorized official contact:
Name: Kim, Yong S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X 046142 Georgia
Managed Care Organizations / Exclusive Provider Organization 302F00000X 046142 Georgia
Managed Care Organizations / Health Maintenance Organization 302R00000X 046142 Georgia

Profile Details

NPI number 1255568150
LBN Legal business name Family Medicine Of Gwinnett, Llc
DBA Doing business as
Authorized official Kim, Yong S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2009
Last updated Jun 18th, 2009 - about 16 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

Popular Providers