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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 Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for WEST ATLANTA INTERNAL MEDICINE PC

NPI # 1356689806
LBN Legal business name WEST ATLANTA INTERNAL MEDICINE PC
Authorized official JOHN JOHNSON - (MEDICAL DIRECTOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/17/2013
Last updated 01/28/2013 - About 13 years ago
Identifiers
GA License # 046866
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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