Milledgeville Familly Practice Center P.C.
LBN: Milledgeville Familly Practice Center P.C.
Milledgeville Familly Practice Center P.C. is an health care organization with primary practice located at 540 W Thomas St Ste B , Milledgeville GA 31061-2745. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Milledgeville Familly Practice Center P.C. can be contacted via phone (478) 453-9435, or through Grimes, George W via phone (478) 453-9435.
Contact Information
Primary practice address
540 W Thomas St Ste B
Milledgeville GA 31061-2745
Phone: (478) 453-9435
Fax: (478) 453-9436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19830 | Georgia |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 19830 | Georgia |
Profile Details
| NPI number | 1033393723 |
|---|---|
| LBN Legal business name | Milledgeville Familly Practice Center P.C. |
| DBA Doing business as | |
| Authorized official | Grimes, George W Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 18th, 2007 |
| Last updated | Dec 18th, 2007 - about 17 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 | 1033393723 | NPPES |
| Georgia | MEDICAID | 00201517A |
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