Alpha Internal Medicine

LBN: Alpha Internal Medicine, Llc
Alpha Internal Medicine is an health care organization with primary practice located at 745 Glynn St S , Fayetteville GA 30214-2049. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Alpha Internal Medicine, Llc can be contacted via phone (770) 719-5490, or through Horton, Betsy S via phone (770) 719-5490.

Contact Information

Primary practice address
745 Glynn St S Fayetteville GA 30214-2049
Phone: (770) 719-5490
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Horton, Betsy S Doctor of Medicine (MD)
Phone: (770) 719-5490

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 720353 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 040693 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 055270 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 053123 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 047760 Georgia

Profile Details

NPI number 1083622849
LBN Legal business name Alpha Internal Medicine, Llc
DBA Doing business as Alpha Internal Medicine
Authorized official Horton, Betsy S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Apr 1st, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083622849 NPPES
Georgia MEDICAID 00753519B
Georgia MEDICAID 510368765A

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