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Contact Information

ENER DRIP IV INFUSION & MED SPA
3993 LAWRENCEVILLE HWY NW STE 115
LILBURN, GA30047-2831
 Phone: 229-319-8267
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

261QH0100X
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for ENER DRIP IV INFUSION & MED SPA

NPI Number 1295317154
LBN Legal business name ENER DRIP IV INFUSION & MED SPA
Authorized official EARLYCE ROBINSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/21/2021
Last updated 05/10/2021 - About 5 years ago
Identifiers
GA Other 1306853577 MEDICAL DIRECTOR
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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