National Provider Identifier Database

WITHINME MD ATLANTA
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

WITHINME MD, ATLANTA
604 GLEN IRIS DR NE
ATLANTA, GA30308-2717
Phone: 404-464-8169
Fax: 404-921-9577
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for WITHINME MD, ATLANTA

NPI Number 1972929685
Legal business name
LBN
WITHINME MD, ATLANTA
Authorized official DERRON SIMON - (CHIEF MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/06/2014
Last updated 03/06/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 1366405037

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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