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Contact Information

GEORGETOWN CLINIC
236 JOHNSON FERRY RD NE
SUITE 200
ATLANTA, GA30328-7402
 Phone: 404-255-0666
 Fax: 404-705-9942
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for GEORGETOWN CLINIC

NPI # 1558630947
LBN Legal business name GEORGETOWN CLINIC
Authorized official RAMIN BAYANI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2011
Last updated 12/23/2011 - About 14 years ago
Identifiers
GA License # 38981
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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