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LAKE OCONEE PARTNERS IN HEALTHCARE LLC NPI 1073829404


NPI Information

NPI: 1073829404
Provider Name: LAKE OCONEE PARTNERS IN HEALTHCARE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2021852

Address:
114 HARMONY XING STE 1
EATONTON, GA
ZIP 31024
Phone: (706) 484-0884
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LAKE OCONEE PARTNERS IN HEALTHCARE, LLC is a family medicine in Eatonton, 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. LAKE OCONEE PARTNERS IN HEALTHCARE, LLC NPI is 1073829404. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

114 HARMONY XING STE 1
EATONTON, GA
ZIP 31024-546
Phone: (706) 484-0884

The provider's authorized official is Eddie Richardson .
The authorized official title is Owner and has the following contact phone number (706) 484-0884.

The CLIA number assigned to this NPI record is 11D2021852 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2010 and was last updated on 2/23/2024.


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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