Primedoc Of Athens Inc

LBN: Primedoc Of Athens Inc
Primedoc Of Athens Inc is an health care organization with primary practice located at 1199 Prince Ave , Athens GA 30606-2797. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Primedoc Of Athens Inc can be contacted via phone (843) 237-3378, or through Reynolds, Robert via phone (843) 237-3378.

Contact Information

Primary practice address
1199 Prince Ave Athens GA 30606-2797
Phone: (843) 237-3378
Fax: (843) 237-5073
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Robert Doctor of Medicine (MD)
Phone: (843) 237-3378

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1164488623
LBN Legal business name Primedoc Of Athens Inc
DBA Doing business as
Authorized official Reynolds, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 16th, 2009 - about 17 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 1164488623 NPPES
Georgia Other DC0899 RAILROAD MEDICARE
Georgia MEDICAID 695069922A RAILROAD MEDICARE

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