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:
Health care specialties
Specialty | Code | License # | 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 14 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 | 1952351116 | NPPES |
Georgia | MEDICAID | 000364339S | |
Georgia | MEDICAID | 000817363D | |
Georgia | MEDICAID | 055002346A |
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