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Contact Information

COMMUNITY PRIMARY CARE OF GEORGIA LLC
165 S BROAD ST
BUTLER, GA31006-5526
 Phone: 478-862-2220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for COMMUNITY PRIMARY CARE OF GEORGIA LLC

NPI # 1730430968
LBN Legal business name COMMUNITY PRIMARY CARE OF GEORGIA LLC
Authorized official CHARLES KEMP - (VICE PRESIDENT OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2012
Last updated 09/27/2012 - About 14 years ago
Identifiers n/a
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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