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FAMILY MEDICAL AND URGENT CARE CLINIC OF MCDONOUGH LLC NPI 1043440530


NPI Information

NPI: 1043440530
Provider Name: FAMILY MEDICAL AND URGENT CARE CLINIC OF MCDONOUGH, LLC

Doing Business As: FAMILY HEALTH CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2170921

Address:
1631 HWY 20 W
MCDONOUGH, GA
ZIP 30253
Phone: (770) 288-2822
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FAMILY MEDICAL AND URGENT CARE CLINIC OF MCDONOUGH, LLC is a family medicine in Mcdonough, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICAL AND URGENT CARE CLINIC OF MCDONOUGH, LLC NPI is 1043440530. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Health Clinic.

The provider's business location address is:

1631 HWY 20 W
MCDONOUGH, GA
ZIP 30253-311
Phone: (770) 288-2822
Fax: (770) 288-2820

The provider's authorized official is Danielle O Eidson .
The authorized official title is Administrative Operations Manager and has the following contact phone number (770) 288-2822.

The CLIA number assigned to this NPI record is 11D2170921 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/20/2009 and was last updated on 11/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical004088GEORGIANo
2207Q00000XFamily Medicine056874GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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