NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

1ST CHOICE MULTI MEDICAL
151 S HOUSTON LAKE RD
SUITE 110
WARNER ROBINS, GA31088-6399
 Phone: 478-333-3026
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for 1ST CHOICE MULTI MEDICAL

NPI Number 1508269028
LBN Legal business name 1ST CHOICE MULTI MEDICAL
Authorized official BENNIE BROWN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2014
Last updated 09/29/2014 - About 5 years ago
Identifiers
MS License # 18711
GA Medicaid 08636876
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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