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Contact Information

GEORGIA HEALTH CLINICS, LLC
11040 CRABAPPLE RD STE A
ROSWELL, GA30075-2457
 Phone: 678-522-6315
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for GEORGIA HEALTH CLINICS, LLC

NPI # 1982288536
LBN Legal business name GEORGIA HEALTH CLINICS, LLC
Authorized official GREG PRIDGEN - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2021
Last updated 08/11/2021 - About 5 years ago
Identifiers n/a
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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