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FOOTHILLS FAMILY MEDICINE INC NPI 1992830996


NPI Information

NPI: 1992830996
Provider Name: FOOTHILLS FAMILY MEDICINE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D1012846

Address:
1300 S CHESTATEE
DAHLONEGA, GA
ZIP 30533
Phone: (706) 867-6005
Get Directions

FOOTHILLS FAMILY MEDICINE INC is a family medicine in Dahlonega, 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. FOOTHILLS FAMILY MEDICINE INC NPI is 1992830996. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1300 S CHESTATEE
DAHLONEGA, GA
ZIP 30533-503
Phone: (706) 867-6005
Fax: (706) 867-6012

The provider's authorized official is Ben Harrell .
The authorized official title is Owner and has the following contact phone number (706) 867-6005.

The CLIA number assigned to this NPI record is 11D1012846 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/22/2020.


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
1207Q00000XFamily MedicineYes

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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