Family Practice Assoicates Llc

LBN: Family Practice Assoicates Llc
Family Practice Assoicates Llc is an health care organization with primary practice located at 612 Love Ave , Tifton GA 31794. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Family Practice Assoicates Llc can be contacted via phone (229) 391-3300, or through Johnson, Carl David via phone (229) 391-3300.

Contact Information

Primary practice address
612 Love Ave Tifton GA 31794
Phone: (229) 391-3300
Fax: (229) 388-1948
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Carl David Doctor of Medicine (MD)
Phone: (229) 391-3300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 28796 Georgia

Profile Details

NPI number 1972725216
LBN Legal business name Family Practice Assoicates Llc
DBA Doing business as
Authorized official Johnson, Carl David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated May 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972725216 NPPES
Georgia MEDICAID 85002772G

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