Johns Creek Family Medicine Llc
LBN: Johns Creek Family Medicine Llc
Johns Creek Family Medicine Llc is an health care organization with primary practice located at 4365 Johns Creek Pkwy Suite 430, Suwanee GA 30024-6089. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Johns Creek Family Medicine Llc can be contacted via phone (678) 474-0040, or through Roth, James L via phone (678) 474-0040.
Contact Information
Primary practice address
4365 Johns Creek Pkwy Suite 430
Suwanee GA 30024-6089
Phone: (678) 474-0040
Fax: (678) 474-0095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 046525 | Georgia |
Profile Details
| NPI number | 1720272412 |
|---|---|
| LBN Legal business name | Johns Creek Family Medicine Llc |
| DBA Doing business as | |
| Authorized official | Roth, James L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 5th, 2007 |
| Last updated | Oct 15th, 2012 - about 12 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 | 1720272412 | NPPES |
| Other | DB1574 | RAILROAD MEDICARE GROUP | |
| Other | GRP4691 | RAILROAD MEDICARE GROUP | |
| MEDICAID | 000971308A | RAILROAD MEDICARE GROUP |
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