Mill Creek Clinic, Llc

LBN: Mill Creek Clinic, Llc
Mill Creek Clinic, Llc is an health care organization with primary practice located at 7824 Hickory Flat Hwy Ste 120 , Woodstock GA 30188-6575. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Mill Creek Clinic, Llc can be contacted via phone (770) 604-1930, or through Vickery, Sheryl Bailey via phone (770) 378-0328.

Contact Information

Primary practice address
7824 Hickory Flat Hwy Ste 120 Woodstock GA 30188-6575
Phone: (770) 604-1930
Fax: (770) 604-1929
Website:
Map and Directions
Authorized official contact:
Name: Vickery, Sheryl Bailey Doctor of Medicine (MD)
Phone: (770) 378-0328

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 26446 Georgia
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1700278199
LBN Legal business name Mill Creek Clinic, Llc
DBA Doing business as
Authorized official Vickery, Sheryl Bailey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2015
Last updated Mar 19th, 2019 - about 6 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 1700278199 NPPES
Georgia MEDICAID 883092643D

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