National Provider Identifier Database

ATLANTA HEALTH CLINIC 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

ATLANTA HEALTH CLINIC LLC
2480 WINDY HILL RD SE STE 404
MARIETTA, GA30067-8658
Phone: 470-747-8400
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for ATLANTA HEALTH CLINIC LLC

NPI Number 1316508815
Legal business name
LBN
ATLANTA HEALTH CLINIC LLC
Authorized official PHILLIP WOFFORD - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/25/2019
Last updated 06/25/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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