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Contact Information

MEDICLINIC
355 UPPER RIVERDALE RD
A8
JONESBORO, GA31141
 Phone: 770-876-6972
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MEDICLINIC

NPI Number 1215270699
LBN Legal business name MEDICLINIC
Authorized official SARA BADIE - (BILLING)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2013
Last updated 04/03/2013 - About 13 years ago
Identifiers
GA License # 007116
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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