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Contact Information

ESTATE CLINICS BY CMG
107 UPPER RIVERDALE RD SW
RIVERDALE, GA30274-2504
 Phone: 770-997-2160
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Research

261QR1100X
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for ESTATE CLINICS BY CMG

NPI Number 1043981517
LBN Legal business name ESTATE CLINICS BY CMG
Authorized official KAYLENE MARTIN - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/24/2021
Last updated 09/24/2021 - About 5 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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