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Contact Information

CREEKSIDE SERVICES, LLC
5800 MOUNTAIN CREEK RD NE
SANDY SPRINGS, GA30328-5035
 Phone: 404-228-6554
 Fax: 404-963-0555
 Website:
Indicates primary specialty

NPI Profile & details for CREEKSIDE SERVICES, LLC

NPI Number 1407125388
LBN Legal business name CREEKSIDE SERVICES, LLC
Authorized official CAROL REYNOLDS - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2011
Last updated 12/21/2011 - About 14 years ago
Identifiers
GA License # 39
GA License # LMSW004998
GA Other 520306 JOINT COMMISSION HEALTHCARE ORGANIZATION
GA Other 006602 PCH
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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