Mountain East Family Medicine

LBN: Greater Gwinnett Physician Practice Company
Mountain East Family Medicine is an health care organization with primary practice located at 4120 Five Forks Trickum Rd Sw Suite 105, Lilburn GA 30047-3130. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Greater Gwinnett Physician Practice Company can be contacted via phone (770) 921-6900, or through Locke, Chuck via phone (800) 661-3365.

Contact Information

Primary practice address
4120 Five Forks Trickum Rd Sw Suite 105 Lilburn GA 30047-3130
Fax:
Website:
Authorized official contact:
Name: Locke, Chuck

Health care specialties

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

Profile Details

NPI number 1891737425
LBN Legal business name Greater Gwinnett Physician Practice Company
DBA Doing business as Mountain East Family Medicine
Authorized official Locke, Chuck
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Aug 29th, 2007 - about 18 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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