Locust Grove Family Medicine in Locust Grove - Family Medicine
Locust Grove Family Medicine - NPI 1629169164
Locust Grove Family Medicine is a Family Medicine in Locust Grove, Georgia. Locust Grove Family Medicine practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Locust Grove Family Medicine is 1629169164. The last update date is 2016-03-14.
Locust Grove Family Medicine's current location address is 3778 Highway 42, Locust Grove, Georgia. You can contact this provider via phone number 6786106649 and fax number 6786106025. The mailing address for Locust Grove Family Medicine is 3778 Highway 42, Locust Grove, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Locust Grove Family Medicine |
|---|---|
| Address | 3778 Highway 42, Locust Grove, Georgia |
| Phone Number | 6786106649 |
| Fax Number | 6786106025 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Trivedi J Nimisha |
| Credentials | MD |
| Telephone Number | 6786106649 |
NPI Number Detail
| NPI Number | 1629169164 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2016-03-14 |
Provider Mailing Address Detail
| Address | 3778 Highway 42 |
|---|---|
| City | Locust Grove |
| State | Georgia (GA) |
| Post Code | 302483632 |
| Phone Number | 6786106649 |
| Fax Number | 6786106025 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 53715 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique provider identifier assigned to Locust Grove Family Medicine?
The Locust Grove Family Medicine has been issued the NPI (National Provider Identifier) 1629169164 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Locust Grove Family Medicine located?
The Locust Grove Family Medicine is located at 3778 Highway 42, Locust Grove, GA 302483632.
What is Locust Grove Family Medicine's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Locust Grove Family Medicine's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Locust Grove Family Medicine receive the assignment of its 1629169164 from the Centers for Medicare & Medicaid Services?
The Locust Grove Family Medicine was issued its 1629169164 by the Centers for Medicare & Medicaid Services on 2006-09-28.
As of what date were the Locust Grove Family Medicine's details last updated?
The information pertaining to the Locust Grove Family Medicine, including its address, specialty, and other details, was most recently updated on 2016-03-14.