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Contact Information

ATLAS INTEGRATIVE MEDICINE AND SPINE CENTER LLC
820 EBENEZER CHURCH RD
SHARPSBURG, GA30277-2073
 Phone: 770-251-4345
 Fax: 770-251-8072
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ATLAS INTEGRATIVE MEDICINE AND SPINE CENTER LLC

NPI Number 1245579234
LBN Legal business name ATLAS INTEGRATIVE MEDICINE AND SPINE CENTER LLC
Authorized official THOMAS HUMBER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2013
Last updated 03/26/2014 - About 12 years ago
Identifiers
GA License # 176824
GA License # 67600
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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