Primedoc Of Athens Inc

LBN: Primedoc Of Athens Inc
Primedoc Of Athens Inc is an health care organization with primary practice located at 775 Sunset Drive , Athens GA 30606. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Primedoc Of Athens Inc can be contacted via phone (706) 425-1500, or through Reynolds, Robert via phone (828) 210-3260.

Contact Information

Primary practice address
775 Sunset Drive Athens GA 30606
Phone: (706) 425-1500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Robert Doctor of Medicine (MD)
Phone: (828) 210-3260

Health care specialties

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

Profile Details

NPI number 1417112301
LBN Legal business name Primedoc Of Athens Inc
DBA Doing business as
Authorized official Reynolds, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2008
Last updated Jul 21st, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417112301 NPPES
Georgia MEDICAID 695069922A
Georgia Other DC0899

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