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TRADITIONAL FAMILY HEALTHCARE
NPI 1760646095
Family Medicine in Lizella, GA

Active since July 16, 2008
202 WATERCRESS DR, LIZELLA, GA 31052(478) 935-9055 Get Directions Write a Review

NPPES record last updated: September 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Traditional Family Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRADITIONAL FAMILY HEALTHCARE (NPI 1760646095) is a healthcare organization registered as a family medicine in Lizella, Georgia and active in the NPI registry since July 2008. The organization lists Brian O Reese, Owner, as its authorized official.

NPPES Registry Identity

NPI1760646095
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRADITIONAL FAMILY HEALTHCARE
Location Address202 WATERCRESS DRLizella, GA 31052-3636
Mailing AddressPo Box 575Lizella, GA 31052-0575 · (478) 935-9055
Phone(478) 935-9055
Organization SubpartNo
Authorized OfficialBrian O ReeseOwner · (478) 935-9055
Enumeration DateJuly 16, 2008
Last NPPES UpdateSeptember 3, 2010
✔ NPI 1760646095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 044319
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 is not limited by age, sex, organ system, or disease entity.
202 WATERCRESS DR, Lizella, GA 31052
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Other Identifiers 2

Medicaid00083794EGA
Medicare PIN511G700974GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traditional Family Healthcare's NPI number?

The NPI number for Traditional Family Healthcare is 1760646095. It was assigned to this organization in the NPPES registry on July 16, 2008.

Where is Traditional Family Healthcare located?

Traditional Family Healthcare is located at 202 Watercress Dr, Lizella, GA 31052. The listed phone number is (478) 935-9055.

What is Traditional Family Healthcare's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Traditional Family Healthcare was last updated on September 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.