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Contact Information

FAMILY SPECIALTY CARE LLC
4310 HARTLEY BRIDGE RD
MACON, GA31216
 Phone: 478-788-4007
 Fax: 478-788-5070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FAMILY SPECIALTY CARE LLC

NPI # 1144432048
LBN Legal business name FAMILY SPECIALTY CARE LLC
Authorized official KIRSTEN HAMPTON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2007
Last updated 09/08/2022 - About 4 years ago
Identifiers
GA License # GA048078
GA License # GA051141
GA Medicaid 527716214A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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