Atlanta Internal Medicine Pc

LBN: Atlanta Internal Medicine Pc
Atlanta Internal Medicine Pc is an health care organization with primary practice located at 2400 Pleasant Hill Rd Suite 300, Duluth GA 30096-4396. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Atlanta Internal Medicine Pc can be contacted via phone (770) 858-5252, or through Kim, Jo via phone (770) 858-5252.

Contact Information

Primary practice address
2400 Pleasant Hill Rd Suite 300 Duluth GA 30096-4396
Phone: (770) 858-5252
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, Jo Doctor of Osteopathy (DO)
Phone: (770) 858-5252

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 64660 Georgia

Profile Details

NPI number 1639567472
LBN Legal business name Atlanta Internal Medicine Pc
DBA Doing business as
Authorized official Kim, Jo Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2015
Last updated Jan 3rd, 2015 - about 9 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 1639567472 NPPES
Georgia MEDICAID 003109338A

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