PHYSICIANS FAMILY MEDICINE OF CANTON LLC NPI 1740448372

NPI Information

NPI: 1740448372
Provider Name: PHYSICIANS FAMILY MEDICINE OF CANTON, LLC

Doing Business As: MD MINOR EMERGENCY & FAMILY MEDICINE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
720 TRANSIT AVE
STE 101
CANTON, GA
ZIP 30114
Phone: (770) 720-7000
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PHYSICIANS FAMILY MEDICINE OF CANTON, LLC is an urgent care clinic center in Canton, GA. PHYSICIANS FAMILY MEDICINE OF CANTON, LLC NPI is 1740448372. The provider is registered as an organization entity type.
The provider Is Doing Business As Md Minor Emergency & Family Medicine.

The provider's business location address is:

720 TRANSIT AVE
STE 101
CANTON, GA
ZIP 30114-571
Phone: (770) 720-7000
Fax: (770) 720-7055

The provider's authorized official is Stephanie Cocciolo .
The authorized official title is Billing Supervisor and has the following contact phone number (770) 720-7100.

The enumeration date for this NPI number is 5/30/2008 and was last updated on 5/4/2016.

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
1	261QU0200X	Clinic/Center	Urgent Care			No
2	261QU0200X	Clinic/Center	Urgent Care		GEORGIA	Yes

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

NPI Synchronization or Removal

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