Northeast Family Practice P.C

LBN: Northeast Family Practice P.C
Northeast Family Practice P.C is an health care organization with primary practice located at 4720 Peachtree Industrial Blvd Ste 202, Norcross GA 30071-5735. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Northeast Family Practice P.C can be contacted via phone (770) 514-8880, or through Wang, Regina Jianhua via phone (404) 819-7261.

Contact Information

Primary practice address
4720 Peachtree Industrial Blvd Ste 202 Norcross GA 30071-5735
Phone: (770) 514-8880
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wang, Regina Jianhua Doctor of Medicine (MD)
Phone: (404) 819-7261

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 050568 Georgia

Profile Details

NPI number 1396099578
LBN Legal business name Northeast Family Practice P.C
DBA Doing business as
Authorized official Wang, Regina Jianhua Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2012
Last updated Nov 9th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396099578 NPPES
Georgia MEDICAID 00951475A
Georgia Other 08BBWJW

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