Macon County Convenient Care

LBN: Macon County Convenient Care
Macon County Convenient Care is an health care organization with primary practice located at 512 Sumter St , Montezuma GA 31063-1758. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Macon County Convenient Care can be contacted via phone (404) 938-6439, or through Jordan, Quincy J via phone (404) 938-6439.

Contact Information

Primary practice address
512 Sumter St Montezuma GA 31063-1758
Phone: (404) 938-6439
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Quincy J Doctor of Medicine (MD)
Phone: (404) 938-6439

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X Georgia

Profile Details

NPI number 1245667021
LBN Legal business name Macon County Convenient Care
DBA Doing business as
Authorized official Jordan, Quincy J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2013
Last updated May 30th, 2014 - about 11 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 1245667021 NPPES
Georgia MEDICAID 000506437G

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