Athens Spine Wellness Center Llc

LBN: Athens Spine Wellness Center Llc
Athens Spine Wellness Center Llc is an health care organization with primary practice located at 830 King Ave , Athens GA 30606-2889. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Athens Spine Wellness Center Llc can be contacted via phone (706) 425-2400, or through Megdal, William via phone (706) 425-2400.

Contact Information

Primary practice address
830 King Ave Athens GA 30606-2889
Phone: (706) 425-2400
Fax: (706) 425-2410
Website:
Map and Directions
Authorized official contact:
Name: Megdal, William Doctor of Medicine (MD)
Phone: (706) 425-2400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 152 Georgia

Profile Details

NPI number 1306275748
LBN Legal business name Athens Spine Wellness Center Llc
DBA Doing business as
Authorized official Megdal, William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 6th, 2013
Last updated Nov 6th, 2013 - about 12 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 1306275748 NPPES
Georgia MEDICAID 537122616A
Georgia MEDICAID 373133496A
Georgia MEDICAID 000275646B

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