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Contact Information

C J MEDICAL CENTER, PROFESSIONAL CORPORATION
3540 DULUTH PARK LN
SUITE # 250
DULUTH, GA30096-6674
 Phone: 770-232-9525
 Fax: 770-232-9106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for C J MEDICAL CENTER, PROFESSIONAL CORPORATION

NPI Number 1922016187
LBN Legal business name C J MEDICAL CENTER, PROFESSIONAL CORPORATION
Authorized official THOMAS STAMMERS - (CEO/MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/04/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
GA License # 029794
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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