National Provider Identifier Database

LIFE POINT MEDICAL 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

LIFE POINT MEDICAL, LLC
189 BO JAMES STREET
SUITE 105
CLAYTON, GA30525
Phone: 706-782-0016
Fax: 706-782-0180
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for LIFE POINT MEDICAL, LLC

NPI Number 1154870533
Legal business name
LBN
LIFE POINT MEDICAL, LLC
Authorized official TIMOTHY BECK - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/27/2016
Last updated 09/03/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 54546

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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