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Contact Information

IN AE MEDICAL CENTER PC
2830 CLEARVIEW PL
100
DORAVILLE, GA30340-2134
 Phone: 678-205-2670
 Fax: 678-205-2671
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for IN AE MEDICAL CENTER PC

NPI # 1275733966
LBN Legal business name IN AE MEDICAL CENTER PC
Authorized official ESTHER BRITO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2007
Last updated 07/20/2007 - About 19 years ago
Identifiers
GA License # 054651
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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