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Contact Information

BD CLINTON ENTERPRISES INC
1535 AUSTELL ROAD
MARIETTA, GA30060
 Phone: 770-424-9716
 Fax: 770-420-7244
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for BD CLINTON ENTERPRISES INC

NPI # 1225115975
LBN Legal business name BD CLINTON ENTERPRISES INC
Authorized official TRACY CLINTON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
GA License # 03337
GA Medicaid 00785254A
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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