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Contact Information

ACSH PRIMARY CARE OF GEORGIA, LLC
4861 BILL GARDNER PKWY
LOCUST GROVE, GA30248-3644
 Phone: 770-626-5740
 Fax: 770-626-5765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for ACSH PRIMARY CARE OF GEORGIA, LLC

NPI # 1598185548
LBN Legal business name ACSH PRIMARY CARE OF GEORGIA, LLC
Authorized official NORMAN WINLAND - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2014
Last updated 08/17/2015 - About 11 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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