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Contact Information

ESSENTIA INTIMA LLC
600 LANIER AVE W STE 203
FAYETTEVILLE, GA30214-1833
 Phone: 909-994-1048
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for ESSENTIA INTIMA LLC

NPI Number 1275356826
LBN Legal business name ESSENTIA INTIMA LLC
Authorized official IJEOMA OKWANDU - (CMO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2024
Last updated 11/04/2024 - More than a year ago
Identifiers n/a
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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