Prince Avenue Primary Care, L.L.C.

LBN: Prince Avenue Primary Care, L.L.C.
Prince Avenue Primary Care, L.L.C. is an health care organization with primary practice located at 892 Prince Ave , Athens GA 30606-2724. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Prince Avenue Primary Care, L.L.C. can be contacted via phone (706) 227-2027, or through Gibson, Timothy B via phone (706) 227-2027.

Contact Information

Primary practice address
892 Prince Ave Athens GA 30606-2724
Fax: (706) 227-2433
Website:
Authorized official contact:
Name: Gibson, Timothy B Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 015584 Georgia

Profile Details

NPI number 1386676211
LBN Legal business name Prince Avenue Primary Care, L.L.C.
DBA Doing business as
Authorized official Gibson, Timothy B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Dec 28th, 2009 - 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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