National Provider Identifier Database

ATLANTA MEDICAL CENTER PHYSICIAN GROUP LLC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

ATLANTA MEDICAL CENTER PHYSICIAN GROUP, LLC
3886 REDWINE ROAD
SUITE 160
ATLANTA, GA30331
Phone: 404-530-3060
Fax: 404-530-3053
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X
Cardiovascular Disease 207RC0000X
Gynecologic Oncology 207VX0201X
Nuclear Cardiology 207UN0901X
Orthopaedic Surgery 207X00000X
Physical Medicine & Rehabilitation 208100000X
Plastic Surgery 208200000X
Surgery 208600000X
Urogynecology and Reconstructive Pelvic Surgery 207VF0040X

* Indicates primary specialty

NPI Profile & details for ATLANTA MEDICAL CENTER PHYSICIAN GROUP, LLC

NPI Number 1235568387
Legal business name
LBN
ATLANTA MEDICAL CENTER PHYSICIAN GROUP, LLC
Authorized official WESLEY JAMES - (REGIONAL CFO, TENET)
Entity Organization
Organization subpart No
Enumeration date 11/08/2013
Last updated 05/26/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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