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DOWNTOWN MEDICAL CLINIC LLC NPI 1376237354


NPI Information

NPI: 1376237354
Provider Name: DOWNTOWN MEDICAL CLINIC, LLC

Former Legal Business Name: GLAM TOWN MEDICAL & SPA LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
124 W MADISON ST STE D
DUBLIN, GA
ZIP 31021
Phone: (478) 304-0606
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DOWNTOWN MEDICAL CLINIC, LLC is a family medicine in Dublin, 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. DOWNTOWN MEDICAL CLINIC, LLC NPI is 1376237354. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Glam Town Medical & Spa Llc.

The provider's business location address is:

124 W MADISON ST STE D
DUBLIN, GA
ZIP 31021-180
Phone: (478) 304-0606
Fax: (888) 375-3879

The provider's authorized official is Ronda Joy Cochran .
The authorized official title is Administrator and has the following contact phone number (478) 304-0606.

The enumeration date for this NPI number is 6/5/2023 and was last updated on 3/13/2024.


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
2208VP0000XPain MedicinePain MedicineNo
3261Q00000XClinic/CenterNo
4261QH0100XClinic/CenterHealth ServiceNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.