CENTER FOR GENERAL MEDICINE INC; NPI #1184876294

Contact Information

CENTER FOR GENERAL MEDICINE INC

809 W. HWY 78
SUITE D
VILLA RICA, GA 30180-1520

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

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NPI Profile & details for CENTER FOR GENERAL MEDICINE INC

NPI Number 1184876294

LBN Legal business name CENTER FOR GENERAL MEDICINE INC

Authorized official BETH ROLLOLAZO - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/21/2008

Last updated 07/13/2010 - About 16 years ago

Identifiers

GA	License #	17551
GA	Medicaid	000113433G
GA	Medicaid	000114133H
GA	Other	P00425023	MEDICARE RAILROAD PIN
GA	Other	DP5724	RAILROAD MEDICARE CGM,INC

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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CENTER FOR GENERAL MEDICINE INC

Contact Information

Specialty

General Practice

NPI Profile & details for CENTER FOR GENERAL MEDICINE INC

Reviews for CENTER FOR GENERAL MEDICINE INC