MD MINOR EMERGENCY & FAMILY MEDICINE – NPI #1740448372
Clinic/Center

MD MINOR EMERGENCY & FAMILY MEDICINE is an AHC clinic located in CANTON, GA. NPPES has assigned the NPI number 1740448372 to MD MINOR EMERGENCY & FAMILY MEDICINE on May 30, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MD MINOR EMERGENCY & FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is PHYSICIANS FAMILY MEDICINE OF CANTON, LLC. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 10 years ago on May 04, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MD MINOR EMERGENCY & FAMILY MEDICINE below.

NPI Profile for
PHYSICIANS FAMILY MEDICINE OF CANTON, LLC

NPI Number
1740448372
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHYSICIANS FAMILY MEDICINE OF CANTON, LLC
Doing Business As (dba): MD MINOR EMERGENCY & FAMILY MEDICINE
Primary location
720 TRANSIT AVE
STE 101
CANTON, GA 30114-2571
Phone: (770) 720-7000 Fax: (770) 720-7055
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEPHANIE COCCIOLO
BILLING SUPERVISOR
Phone: (770) 720-7100
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.