American Brain, Llc

LBN: American Brain, Llc
American Brain, Llc is an health care organization with primary practice located at 938 Elma G Miles Pkwy , Hinesville GA 31313-4515. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. American Brain, Llc can be contacted via phone (912) 877-9111, or through Dosunmu, Aderemi via phone (912) 877-9111.

Contact Information

Primary practice address
938 Elma G Miles Pkwy Hinesville GA 31313-4515
Phone: (912) 877-9111
Fax: (912) 877-5437
Website:
Map and Directions
Authorized official contact:
Name: Dosunmu, Aderemi Doctor of Medicine (MD)
Phone: (912) 877-9111

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 047893 Georgia

Profile Details

NPI number 1689096828
LBN Legal business name American Brain, Llc
DBA Doing business as
Authorized official Dosunmu, Aderemi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2014
Last updated Jan 7th, 2014 - about 11 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 1689096828 NPPES
Georgia MEDICAID 802238916A

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