National Provider Identifier Database

WEST ATLANTA INTERNAL MEDICINE PC
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

WEST ATLANTA INTERNAL MEDICINE PC
6128 PRESTLEY MILL RD
SUITE G
DOUGLASVILLE, GA30134-5621
Phone: 770-942-6903
Fax: 770-942-6908
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for WEST ATLANTA INTERNAL MEDICINE PC

NPI Number 1356689806
Legal business name
LBN
WEST ATLANTA INTERNAL MEDICINE PC
Authorized official JOHN JOHNSON - (MEDICAL DIRECTOR/OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/17/2013
Last updated 01/28/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 046866

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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