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Contact Information

CENTER FOR GENERAL MEDICINE INC
809 W. HWY 78
SUITE D
VILLA RICA, GA30180-1520
 Phone: 770-456-9996
 Fax: 770-456-9949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for CENTER FOR GENERAL MEDICINE INC · (Female)

NPI # 1184876294
Status Active
Credentials
Entity Individual
Enumeration date 10/21/2008
Last updated 07/13/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 17551
  • GA Medicaid 000113433G
  • GA Medicaid 000114133H
  • GA Other P00425023 MEDICARE RAILROAD PIN
  • GA Other DP5724 RAILROAD MEDICARE CGM,INC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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