| Organization Name: | HOME PHYSICIAN CARE, LLC |
| NPI Number: | 1003047184 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REGINALD PARRY JAMES (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 5012 Bristol Industrial Way Suite 110 Buford |
| State: | GA US |
| Postal Code: | 305189050 |
| Phone Number: | 7705549773 |
| Fax Number: | 6787304397 |
| NPI Enumeration Date: | 08/06/2009 |
| NPI Last Update Date: | 07/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |