Mason Primary Care

LBN: Mason Primary Care Clinic, Lp
Mason Primary Care is an health care organization with primary practice located at 3500 Mcclure Bridge Rd , Duluth GA 30096-3131. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mason Primary Care Clinic, Lp can be contacted via phone (770) 476-3636, or through Martin, Missy via phone (770) 622-3114.

Contact Information

Primary practice address
3500 Mcclure Bridge Rd Duluth GA 30096-3131
Phone: (770) 476-3636
Fax: (770) 476-5845
Website:
Map and Directions
Authorized official contact:
Name: Martin, Missy
Phone: (770) 622-3114

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1952351116
LBN Legal business name Mason Primary Care Clinic, Lp
DBA Doing business as Mason Primary Care
Authorized official Martin, Missy
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Jan 13th, 2010 - about 15 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 1952351116 NPPES
Georgia MEDICAID 000364339S
Georgia MEDICAID 000817363D
Georgia MEDICAID 055002346A

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