National Provider Identifier Database

CENTER FOR GENERAL MEDICINE INC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


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
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for CENTER FOR GENERAL MEDICINE INC

NPI Number 1184876294
Legal business name
LBN
CENTER FOR GENERAL MEDICINE INC
Authorized official BETH ROLLOLAZO - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/21/2008
Last updated 07/13/2010 - About 16 years ago
Sole proprietor1 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

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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