National Provider Identifier Database

CATALYST PHYSICAL MEDICINE LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

CATALYST PHYSICAL MEDICINE LLC
4914 ATLANTA HWY
ALPHARETTA, GA30004-2921
Phone: 770-833-7907
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for CATALYST PHYSICAL MEDICINE LLC

NPI Number 1396080925
Legal business name
LBN
CATALYST PHYSICAL MEDICINE LLC
Authorized official JENNIFER DORGAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/08/2012
Last updated 12/08/2012 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 64776

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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