Healthcare Provider Details

I. General information

NPI: 1467504167
Provider Name (Legal Business Name): HMC PHYSICIAN BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 08/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GROSS CRESCENT CIRCLE
FORT OGLETHORPE GA
30742
US

IV. Provider business mailing address

100 GROSS CRESCENT CIRCLE
FORT OGLETHORPE GA
30742
US

V. Phone/Fax

Practice location:
  • Phone: 706-858-2254
  • Fax:
Mailing address:
  • Phone: 706-858-2254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. DOUGLAS R VOLINSKI
Title or Position: VP CFO
Credential: CPA
Phone: 706-858-2254