Waycross Family Practice

LBN: Waycross Family Practice
Waycross Family Practice is an health care organization with primary practice located at 1507 Alice St , Waycross GA 31501-4530. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Waycross Family Practice can be contacted via phone (912) 283-7220, or through Johnson, Sharon via phone (912) 283-7220.

Contact Information

Primary practice address
1507 Alice St Waycross GA 31501-4530
Phone: (912) 283-7220
Fax: (912) 283-7026
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Sharon
Phone: (912) 283-7220

Health care specialties

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

Profile Details

NPI number 1891752473
LBN Legal business name Waycross Family Practice
DBA Doing business as
Authorized official Johnson, Sharon
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2006
Last updated Jan 7th, 2013 - about 12 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 1891752473 NPPES
Georgia Other CB0726 RAILROAD MEDICARE

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