South Forsyth Family Medicine And Pediatrics Llc
LBN: South Forsyth Family Medicine And Pediatrics Llc
South Forsyth Family Medicine And Pediatrics Llc is an health care organization with primary practice located at 1845 Lockeway Dr Suite 404, Alpharetta GA 30004-5936. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
South Forsyth Family Medicine And Pediatrics Llc can be contacted via phone (770) 343-9112, or through Gore, Dina J via phone (770) 343-9112.
Contact Information
Primary practice address
1845 Lockeway Dr Suite 404
Alpharetta GA 30004-5936
Phone: (770) 343-9112
Fax: (770) 343-8911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2401782 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2401782 | Georgia |
Profile Details
| NPI number | 1952599516 |
|---|---|
| LBN Legal business name | South Forsyth Family Medicine And Pediatrics Llc |
| DBA Doing business as | |
| Authorized official | Gore, Dina J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Jan 17th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952599516 | NPPES |
| Georgia | MEDICAID | 000630759E | |
| Georgia | MEDICAID | 000630759F |
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