Richard J. Breckwoldt,M.D.

LBN: Premier Internal Medicine
Richard J. Breckwoldt,M.D. is an health care organization with primary practice located at 5604 Wendy Bagwell Pkwy Ste 711, Hiram GA 30141-7813. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Premier Internal Medicine can be contacted via phone (678) 384-0800, or through Breckwoldt, Richard J via phone (678) 384-0800.

Contact Information

Primary practice address
5604 Wendy Bagwell Pkwy Ste 711 Hiram GA 30141-7813
Phone: (678) 384-0800
Fax: (678) 384-0801
Website:
Map and Directions
Authorized official contact:
Name: Breckwoldt, Richard J Doctor of Medicine (MD)
Phone: (678) 384-0800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 039295 Georgia

Profile Details

NPI number 1659494847
LBN Legal business name Premier Internal Medicine
DBA Doing business as Richard J. Breckwoldt,M.D.
Authorized official Breckwoldt, Richard J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Sep 29th, 2010 - about 15 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 1659494847 NPPES
Georgia MEDICAID 000656103B

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