National Provider Identifier Database

PACT ATLANTA LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

PACT ATLANTA, LLC
465 WINN WAY STE 221
DECATUR, GA30030-1723
Phone: 404-292-3810
Fax: 404-292-3848
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for PACT ATLANTA, LLC

NPI Number 1114092202
Legal business name
LBN
PACT ATLANTA, LLC
Authorized official TODD ANTIN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/22/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 036495

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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