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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 Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for WITHINME MD, ATLANTA

NPI Number 1972929685
LBN Legal business name WITHINME MD, ATLANTA
Authorized official DERRON SIMON - (CHIEF MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2014
Last updated 03/06/2014 - About 12 years ago
Identifiers
GA License # 1366405037
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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