Family Practice Clinic Pc

LBN: Family Practice Clinic Pc
Family Practice Clinic Pc is an health care organization with primary practice located at 696 Grayson Hwy , Lawrenceville GA 30046-6372. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Practice Clinic Pc can be contacted via phone (770) 963-0927, or through Smith, Sheila Jeanne via phone (770) 963-0927.

Contact Information

Primary practice address
696 Grayson Hwy Lawrenceville GA 30046-6372
Phone: (770) 963-0927
Fax: (770) 963-9772
Website:
Map and Directions
Authorized official contact:
Name: Smith, Sheila Jeanne Doctor of Osteopathy (DO)
Phone: (770) 963-0927

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20001 Georgia

Profile Details

NPI number 1437346509
LBN Legal business name Family Practice Clinic Pc
DBA Doing business as
Authorized official Smith, Sheila Jeanne Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2007
Last updated Dec 2nd, 2010 - about 15 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 1437346509 NPPES
Georgia MEDICAID 00168869A
Georgia MEDICAID 000302222A

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