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General NPI Number Information
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NPI Number | 1487572459
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Entity Type | Organization
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Legal Business Name | GEORGIA PRIMARY CARE PARTNERS, LLC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 4518 HIGHWAY 42 S STE 230
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City | LOCUST GROVE
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State | GA
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Zip | 30248-4111
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Country | US
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Telephone | 678-272-1585
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Fax |
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Provider Business Mailing Address
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Address Line | 60 EXCHANGE ST STE B5
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City | RICHMOND HILL
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State | GA
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Zip | 31324-7646
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | BETH KOHN
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Credential |
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Telephone | 727-776-9642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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