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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 Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for LIFE POINT MEDICAL, LLC

NPI Number 1154870533
LBN Legal business name LIFE POINT MEDICAL, LLC
Authorized official TIMOTHY BECK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2016
Last updated 09/03/2025 - About 9 months ago
Identifiers
GA License # 54546
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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