Jubilee Primary Care Pc

LBN: Jubilee Primary Care Pc
Jubilee Primary Care Pc is an health care organization with primary practice located at 3312 Heathchase Ln , Suwanee GA 30024-4639. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Jubilee Primary Care Pc can be contacted via phone (678) 783-4860, or through Shongo, Avril Patrice Daisley via phone (678) 783-4860.

Contact Information

Primary practice address
3312 Heathchase Ln Suwanee GA 30024-4639
Phone: (678) 783-4860
Fax: (678) 940-0509
Website:
Map and Directions
Authorized official contact:
Name: Shongo, Avril Patrice Daisley Doctor of Medicine (MD)
Phone: (678) 783-4860

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X

Profile Details

NPI number 1891393005
LBN Legal business name Jubilee Primary Care Pc
DBA Doing business as
Authorized official Shongo, Avril Patrice Daisley Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2020
Last updated Oct 30th, 2020 - about 5 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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