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Contact Information

DR WILLIAM DAVID BREEDLOVE, LLC
162 HOSPITAL RD
STE A
BLAIRSVILLE, GA30512
 Phone: 706-745-3333
 Fax: 706-745-7188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DR WILLIAM DAVID BREEDLOVE, LLC

NPI Number 1184150245
LBN Legal business name DR WILLIAM DAVID BREEDLOVE, LLC
Authorized official WILLIAM BREEDLOVE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2017
Last updated 12/06/2023 - About 2 years ago
Identifiers
GA License # 026465
GA Medicaid 00325927B
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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