Rocdale Physician Practices, LLC

Internal Medicine Physician · Covington, GA

Organization Active NPI

NPI number 1598197758

Practice location

5154 Cook St NE
Covington, GA 30014-2630
Phone
(770) 788-1778
Fax
(770) 788-1285

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NPI record

NPI
1598197758
Entity type
Organization (Type 2)
Enumeration date
July 30, 2013
Last updated
November 4, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 070244 GA
Family Medicine Physician 207Q00000X 070244 GA

Mailing address

PO Box 116202
Atlanta, GA 30368-6202
Phone
(770) 922-0734
Fax
(770) 922-0734

Authorized official

Name
Timothy D. Vaughn
Title
Vice President
Phone
(615) 372-8505

Other names

  • Premier Healthcare Alliance

About Rocdale Physician Practices, LLC

Rocdale Physician Practices, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 5154 Cook St NE, Covington, GA 30014-2630. The NPI number 1598197758 was assigned on July 30, 2013 and the record was last updated on November 4, 2013.

Rocdale Physician Practices, LLC lists 2 licenses in the registry: #070244 (GA) for Internal Medicine Physician; #070244 (GA) for Family Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Timothy D. Vaughn, Vice President.

Frequently asked questions

What is the NPI number of Rocdale Physician Practices, LLC?

The NPI number is 1598197758.

What is the phone number of Rocdale Physician Practices, LLC?

The phone number listed for the practice location is (770) 788-1778.

Where is Rocdale Physician Practices, LLC located?

5154 Cook St NE, Covington, GA 30014-2630.

What is the taxonomy code for Rocdale Physician Practices, LLC?

The primary taxonomy code is 207R00000X – Internal Medicine Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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