National Provider Identifier Database

MEDICA AT RABUN LLC
Radiology


Contact Information

MEDICA AT RABUN, LLC
7499 OLD HIGHWAY 441 SOUTH
LAKEMONT, GA30552
Phone: 706-782-0770
Fax: 706-782-1091
Website:
Specialty Taxonomy Code
* Radiology 261QR0200X

* Indicates primary specialty

NPI Profile & details for MEDICA AT RABUN, LLC

NPI Number 1720022411
Legal business name
LBN
MEDICA AT RABUN, LLC
Authorized official MARY BAKER - (VP OF OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 06/15/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: NONE

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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