Ridgeway Family Practice, Pc

LBN: Ridgeway Family Practice, Pc
Ridgeway Family Practice, Pc is an health care organization with primary practice located at 641 Hospital Rd Suite 3, Commerce GA 30529-1155. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Ridgeway Family Practice, Pc can be contacted via phone (706) 335-2034, or through Sullivan, Beth Ann via phone (706) 335-2034.

Contact Information

Primary practice address
641 Hospital Rd Suite 3 Commerce GA 30529-1155
Phone: (706) 335-2034
Fax: (706) 336-8638
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Beth Ann Doctor of Osteopathy (DO)
Phone: (706) 335-2034

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 2010001281-58996 Georgia

Profile Details

NPI number 1679612733
LBN Legal business name Ridgeway Family Practice, Pc
DBA Doing business as
Authorized official Sullivan, Beth Ann Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Nov 17th, 2010 - about 16 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 1679612733 NPPES
Georgia Other GRP6629 MEDICARE GROUP NUMBER
Georgia MEDICAID 85002412G MEDICARE GROUP NUMBER

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