FAMILY PRACTITIONERS OF GLYNN PC NPI 1912056474

NPI Information

NPI: 1912056474
Provider Name: FAMILY PRACTITIONERS OF GLYNN, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
390 EH CT
BRUNSWICK, GA
ZIP 31520
Phone: (912) 267-4900
Get Directions

FAMILY PRACTITIONERS OF GLYNN, PC is a family medicine in Brunswick, 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 PRACTITIONERS OF GLYNN, PC NPI is 1912056474. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

390 EH CT
BRUNSWICK, GA
ZIP 31520-198
Phone: (912) 267-4900
Fax: (912) 267-4960

The provider's authorized official is Jennifer Kotz Miller .
The authorized official title is Owner, Physician and has the following contact phone number (912) 267-4900.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 3/17/2011.

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	License Number	License State	Primary
1	207Q00000X	Family Medicine	029657	GEORGIA	No
2	207Q00000X	Family Medicine	052698	GEORGIA	No
3	207Q00000X	Family Medicine	056735	GEORGIA	No
4	207Q00000X	Family Medicine	051731	GEORGIA	No
5	207Q00000X	Family Medicine	040739	GEORGIA	No
6	207Q00000X	Family Medicine	046996	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GRP7489	MEDICARE PIN	GEORGIA

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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