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Contact Information

INMED CLINICAL SERVICES LLC
331 RIDGECREST CIR
CLAYTON, GA30525-4186
 Phone: 706-782-0440
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Hospitalist

208M00000X
 

Medical

363AM0700X 97 Physician Assistant
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for INMED CLINICAL SERVICES LLC

NPI # 1861754202
LBN Legal business name INMED CLINICAL SERVICES LLC
Authorized official VICKI LAWRENSON - (COO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/12/2012
Last updated 06/12/2012 - About 14 years ago
Identifiers n/a
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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