BOHLDFACE BYU-TE, LLC; NPI #1740878206

Contact Information

BOHLDFACE BYU-TE, LLC

3895 BUSBY MILL CT
ELLENWOOD, GA 30294-2055

Phone: 470-510-8285
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Customized Equipment	332BC3200X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for BOHLDFACE BYU-TE, LLC

NPI #	`1740878206`
LBN Legal business name	BOHLDFACE BYU-TE, LLC
Authorized official	TATIANA MARCUS - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/08/2021
Last updated	04/30/2024 - About 2 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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BOHLDFACE BYU-TE, LLC

Contact Information

Specialty

Customized Equipment

NPI Profile & details for BOHLDFACE BYU-TE, LLC

Reviews for BOHLDFACE BYU-TE, LLC