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Contact Information

MY ASSOCIATES,LLC
1869 WICKS VALLEY DRIVE
MARIETTA, GA30062
 Phone: 678-404-1131
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for MY ASSOCIATES,LLC

NPI Number 1194120014
LBN Legal business name MY ASSOCIATES,LLC
Authorized official THOMAS CLARK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2014
Last updated 10/12/2022 - About 4 years ago
Identifiers
GA Medicaid 999999999999
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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