Park Central Family Practice, Inc.

LBN: Park Central Family Practice, Inc.
Park Central Family Practice, Inc. is an health care organization with primary practice located at 4367 New Snapfinger Woods Dr , Decatur GA 30035-2920. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Park Central Family Practice, Inc. can be contacted via phone (770) 981-2008, or through Alexander, Terrie A via phone (770) 981-2008.

Contact Information

Primary practice address
4367 New Snapfinger Woods Dr Decatur GA 30035-2920
Phone: (770) 981-2008
Fax: (770) 981-6302
Website:
Map and Directions
Authorized official contact:
Name: Alexander, Terrie A
Phone: (770) 981-2008

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Georgia

Profile Details

NPI number 1922104306
LBN Legal business name Park Central Family Practice, Inc.
DBA Doing business as
Authorized official Alexander, Terrie A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated May 10th, 2021 - about 4 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 1922104306 NPPES
Georgia MEDICAID 172813090A

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