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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083622849 | NPPES |
| Georgia | MEDICAID | 00753519B | |
| Georgia | MEDICAID | 510368765A |
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