Shittu Family Practice,Llc

LBN: Shittu Family Practice,Llc
Shittu Family Practice,Llc is an health care organization with primary practice located at 213 Banks Rd , Fayetteville GA 30214. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Shittu Family Practice,Llc can be contacted via phone (770) 629-1917, or through Sitou, Tawa via phone (770) 629-1917.

Contact Information

Primary practice address
213 Banks Rd Fayetteville GA 30214
Phone: (770) 629-1917
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sitou, Tawa Nurse Practitioner (NP)
Phone: (770) 629-1917

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1194331439
LBN Legal business name Shittu Family Practice,Llc
DBA Doing business as
Authorized official Sitou, Tawa Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2020
Last updated May 17th, 2021 - about 4 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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