Family Practice Of Conyers Inc

LBN: Family Practice Of Conyers Inc
Family Practice Of Conyers Inc is an health care organization with primary practice located at 1039 E Freeway Dr Se , Conyers GA 30094-5965. 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 Of Conyers Inc can be contacted via phone (770) 922-0076, or through Griffin, Alvin Vincent via phone (770) 922-0076.

Contact Information

Primary practice address
1039 E Freeway Dr Se Conyers GA 30094-5965
Phone: (770) 922-0076
Fax: (770) 922-0734
Website:
Map and Directions
Authorized official contact:
Name: Griffin, Alvin Vincent Doctor of Medicine (MD)
Phone: (770) 922-0076

Health care specialties

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

Profile Details

NPI number 1720146301
LBN Legal business name Family Practice Of Conyers Inc
DBA Doing business as
Authorized official Griffin, Alvin Vincent Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Jun 20th, 2023 - about last year

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 1720146301 NPPES
Georgia MEDICAID 00412849I

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