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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 Specialty Code Provider Type

Radiology

261QR0200X 74 Radiation Therapy Center
Indicates primary specialty

NPI Profile & details for MEDICA AT RABUN, LLC

NPI Number 1720022411
LBN Legal business name MEDICA AT RABUN, LLC
Authorized official MARY BAKER - (VP OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
GA License # NONE
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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