National Provider Identifier Database

GEORGIA PRENATAL 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

GEORGIA PRENATAL LLC
950 INDIAN TRAIL LILBURN RD NW
LILBURN, GA30047-1721
Phone: 470-545-2131
Fax: 770-809-5154
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for GEORGIA PRENATAL LLC

NPI Number 1205334620
Legal business name
LBN
GEORGIA PRENATAL LLC
Authorized official VALENCIA FLOURNOY - (MEDICAL CONSULTANT)
Entity Organization
Organization subpart No
Enumeration date 01/31/2018
Last updated 06/16/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 58124

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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