Primary Care Clinics Of Georgia

LBN: Primary Care Clinics Of Georgia
Primary Care Clinics Of Georgia is an health care organization with primary practice located at 1240 Jesse Jewell Pkwy Se Suite 370, Gainesville GA 30501-3862. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Primary Care Clinics Of Georgia can be contacted via phone (770) 536-1004, or through Hocker, David Leon via phone (770) 536-1004.

Contact Information

Primary practice address
1240 Jesse Jewell Pkwy Se Suite 370 Gainesville GA 30501-3862
Fax: (770) 536-0905
Website:
Authorized official contact:
Name: Hocker, David Leon M.D., M.R.O.

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 041138 Georgia

Profile Details

NPI number 1013961846
LBN Legal business name Primary Care Clinics Of Georgia
DBA Doing business as
Authorized official Hocker, David Leon M.D., M.R.O.
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Jul 21st, 2008 - about 16 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 1013961846 NPPES
Georgia Other 158736300 US DOL OWCP
Georgia Other 1013961846 US DOL OWCP
Georgia Other 158736300 US DOL OWCP
Georgia Other P00089388 US DOL OWCP
Georgia MEDICAID 000686463B US DOL OWCP

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