Family Wellness Md

LBN: Gim Enterprises Llc
Family Wellness Md is an health care organization with primary practice located at 3625 Savannah Pl Ste 101A , Duluth GA 30096-6376. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Gim Enterprises Llc can be contacted via phone (770) 707-4018, or through Hodge-Spears, Kimberly via phone (770) 707-4018.

Contact Information

Primary practice address
3625 Savannah Pl Ste 101A Duluth GA 30096-6376
Fax: (770) 785-4488
Website:
Authorized official contact:
Name: Hodge-Spears, Kimberly Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1275138349
LBN Legal business name Gim Enterprises Llc
DBA Doing business as Family Wellness Md
Authorized official Hodge-Spears, Kimberly Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2020
Last updated Apr 24th, 2023 - about 2 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 1275138349 NPPES
Georgia MEDICAID 1174057335
Georgia MEDICAID 1689774382
Georgia MEDICAID 1083762025

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