Peachtree Immediate Care Fp, Llc

LBN: Peachtree Immediate Care Fp, Llc
Peachtree Immediate Care Fp, Llc is an health care organization with primary practice located at 3827 Jimmy Lee Smith Pkwy , Hiram GA 30141-2630. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Peachtree Immediate Care Fp, Llc can be contacted via phone (770) 222-8900, or through Malik-Roe, Andrea via phone (678) 504-6392.

Contact Information

Primary practice address
3827 Jimmy Lee Smith Pkwy Hiram GA 30141-2630
Phone: (770) 222-8900
Fax: (770) 222-2757
Website:
Map and Directions
Authorized official contact:
Name: Malik-Roe, Andrea
Phone: (678) 504-6392

Health care specialties

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

Profile Details

NPI number 1437194156
LBN Legal business name Peachtree Immediate Care Fp, Llc
DBA Doing business as
Authorized official Malik-Roe, Andrea
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Feb 20th, 2017 - about 7 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 1437194156 NPPES
Georgia MEDICAID 003137060A

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