Familycare Medical, Llc
LBN: Familycare Medical, Llc
Familycare Medical, Llc is an health care organization with primary practice located at 6685 Merchants Way Suite B, Morrow GA 30260-2342. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Familycare Medical, Llc can be contacted via phone (770) 968-1997, or through Thedford, Victoria H. via phone (770) 968-1997.
Contact Information
Primary practice address
6685 Merchants Way Suite B
Morrow GA 30260-2342
Phone: (770) 968-1997
Fax: (770) 968-1918
Website:
Authorized official contact:
Name: Thedford, Victoria H. Doctor of Medicine (MD)
Phone: (770) 968-1997
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 054039 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 054039 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 054039 | Georgia |
Profile Details
| NPI number | 1215171459 |
|---|---|
| LBN Legal business name | Familycare Medical, Llc |
| DBA Doing business as | |
| Authorized official | Thedford, Victoria H. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 30th, 2009 |
| Last updated | Apr 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215171459 | NPPES |
| Georgia | MEDICAID | 187347049E |
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