FAMILY PRACTICE ASSOICATES LLC; NPI #1972725216

Contact Information

FAMILY PRACTICE ASSOICATES LLC

612 LOVE AVE
TIFTON, GA 31794

Phone: 229-391-3300
Fax: 229-388-1948
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 FAMILY PRACTICE ASSOICATES LLC

NPI Number 1972725216

LBN Legal business name FAMILY PRACTICE ASSOICATES LLC

Authorized official CARL JOHNSON - (PRACTICE OWNER/PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/03/2007

Last updated 05/08/2015 - About 11 years ago

Identifiers

GA	License #	28796
GA	Medicaid	85002772G

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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FAMILY PRACTICE ASSOICATES LLC

Contact Information

Specialty

General Practice

NPI Profile & details for FAMILY PRACTICE ASSOICATES LLC

Reviews for FAMILY PRACTICE ASSOICATES LLC