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Contact Information

LIFEHOPE TRIF3CTA SPORTS MEDICINE, LLC
11680 GREAT OAKS WAY
ALPHARETTA, GA30022-2457
 Phone: 404-500-7224
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LIFEHOPE TRIF3CTA SPORTS MEDICINE, LLC

NPI # 1841960937
LBN Legal business name LIFEHOPE TRIF3CTA SPORTS MEDICINE, LLC
Authorized official JAESON COURSEAULT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2021
Last updated 09/27/2021 - 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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