National Provider Identifier Database

FAMILY PRACTICE ASSOICATES LLC
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

FAMILY PRACTICE ASSOICATES LLC
612 LOVE AVE
TIFTON, GA31794
Phone: 229-391-3300
Fax: 229-388-1948
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for FAMILY PRACTICE ASSOICATES LLC

NPI Number 1972725216
Legal business name
LBN
FAMILY PRACTICE ASSOICATES LLC
Authorized official CARL JOHNSON - (PRACTICE OWNER/PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 05/03/2007
Last updated 05/08/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 28796
  • GA Medicaid: 85002772G

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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